Individual
KELLY LYNN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3855 PLEASANT HILL RD, SUITE 130, DULUTH, GA 30096-1407
(678) 312-7880
(678) 312-7890
Mailing address
3855 PLEASANT HILL RD, SUITE 130, DULUTH, GA 30096-1407
(678) 312-7880
(678) 312-7890
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060802416
GA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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