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Individual

MRS. BETH RENZI VANSANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC

Contact information

Practice address
2605 BEN HILL RD, EAST POINT, GA 30344-1900
(770) 876-1670
Mailing address
2605 BEN HILL RD, EAST POINT, GA 30344-1900

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001143
GA

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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