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Individual

FELISHA NICHOLE QUIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014-2541
(770) 788-6534
Mailing address
10245 EAGLE DR, COVINGTON, GA 30014-3807
(770) 784-2920

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002598
GA

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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