Individual
KRISTEN LEIGH NEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
590 HERTY LANE, STATESBORO, GA 30258
(828) 332-7515
Mailing address
590 HERTY LANE, STATESBORO, GA 30458-2584
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003166
GA
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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