Individual
ILSE POPKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
803 CAREY ST, PERRY, GA 31069-2502
(478) 973-8908
Mailing address
803 CAREY ST, PERRY, GA 31069-2502
(478) 973-8908
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000035114
GA
Other
Enumeration date
08/30/2018
Last updated
12/04/2022
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