Individual
KIERA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
8521 CUMBERLAND GLEN LN SE, SMYRNA, GA 30080-4049
(504) 908-0208
Mailing address
8521 CUMBERLAND GLEN LN SE, SMYRNA, GA 30080-4049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002698
GA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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