Individual
PORTIA A. COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4044 GEORGE BUSBEE PKWY NW APT 5204, KENNESAW, GA 30144-6892
(678) 575-2609
Mailing address
4044 GEORGE BUSBEE PKWY NW APT 5204, KENNESAW, GA 30144-6892
(678) 575-2609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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