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Individual

MR. BRYANT DEQUAN BAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MESS, ATC,

Contact information

Practice address
2045 PEACHTREE RD NE, ATLANTA, GA 30309-1414
(404) 355-0743
(404) 603-9887
Mailing address
2045 PEACHTREE RD NE, ATLANTA, GA 30309-1414
(404) 355-0743
(404) 603-9887

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
05/10/2007
Last updated
10/19/2011
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