Individual
NICHOLAS DIGAETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
224B JOHNSON FERRY RD NE, ATLANTA, GA 30328-3820
(470) 300-6670
(470) 300-6671
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000573
GA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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