Individual
MAGGIE ALYSSA EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
190 CLEARVIEW CIR, MCDONOUGH, GA 30253-2700
(770) 335-9698
Mailing address
190 CLEARVIEW CIR, MCDONOUGH, GA 30253-2700
(770) 335-9698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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