Individual
KELLI ANNE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
70 ANSLEY DR, DAHLONEGA, GA 30533-1613
(706) 864-7904
Mailing address
210 CRABAPPLE RD, DAHLONEGA, GA 30533-4501
(706) 867-1673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000753
GA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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