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Individual

MEAGHAN DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1775 M H JACKSON SERVICE RD, ATLANTA, GA 30354-3743
(404) 714-3420
Mailing address
1775 M H JACKSON SERVICE RD, ATLANTA, GA 30354-3743

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00304
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UNKNOWN
UNKNOWN
GA
Enumeration date
01/16/2018
Last updated
01/16/2018
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