Individual
HEATHER ANN GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3903 S COBB DR SE STE 275, SMYRNA, GA 30080-6455
(404) 251-2115
Mailing address
1900 TOWNE MANOR DR NW, KENNESAW, GA 30144-2979
(661) 609-7842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/13/2024
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