Individual
JESSICA PASTERNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2687 AKINS BOULEVARD, STATESBORO, GA 30458
(912) 478-7230
Mailing address
PO BOX 8078, STATESBORO, GA 30460-1000
(912) 478-7230
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002381
GA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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