Individual
MISS TARA JEAN BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3100 VETERANS PKWY S, MOULTRIE, GA 31788-9400
(229) 890-3553
Mailing address
255 REEVES RD, BARNESVILLE, GA 30204-3515
(678) 603-3289
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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