Individual
ANDREW ALCANTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7340 FAIRMOUNT HWY SE, CALHOUN, GA 30701-4023
(706) 602-0320
Mailing address
39 JIM LN SE, CARTERSVILLE, GA 30120-7824
(478) 293-9539
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002802
GA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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