Individual
MRS. AMANDA KRISTINE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1493 HIGHWAY 92, ACWORTH, GA 30102
(716) 515-8296
Mailing address
244 DERBY CT, ACWORTH, GA 30102-1438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002410
GA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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