Individual
JILLIAN KELLY HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 PLEASANT HILL CHURCH RD SE, WINDER, GA 30680-4232
(404) 786-7605
Mailing address
151 PLEASANT HILL CHURCH RD SE, WINDER, GA 30680-4232
(404) 786-7605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2025
Last updated
06/11/2025
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