Individual
JANIAH VENISHA BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16915 HIGHWAY 67, STATESBORO, GA 30458-5819
(912) 681-2500
Mailing address
9034 WHISPERING PINES BLVD, STATESBORO, GA 30458-9211
(191) 241-5120
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004223
GA
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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