Individual
MR. SHAWN THOMAS O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1180 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024-4637
(404) 367-2080
Mailing address
5843 RIVERSIDE WALK DR, SUGAR HILL, GA 30518-7499
(770) 826-1029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001302
GA
Other
Enumeration date
06/19/2007
Last updated
02/01/2008
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