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Individual

SIERRA BROOKE WELSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
504 COLLEGE DR, ALBANY, GA 31705-2717
(229) 430-1903
(229) 430-1774
Mailing address
504 COLLEGE DR, ALBANY, GA 31705-2717
(229) 430-1903
(229) 430-1774

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT003230
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AT003230
ATHLETIC TRAINER CERTIFIED AND LICENSED
GA
Enumeration date
10/01/2017
Last updated
10/01/2017
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