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Individual

SAMANTHA NICHOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 E 4TH ST, CHATTANOOGA, TN 37403-1925
(423) 425-4706
Mailing address
5322 CLEMONS RD APT 402, EAST RIDGE, TN 37412-3180

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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