Individual
MARY JANE GOLDBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 AKERS RIDGE DR SE, ATLANTA, GA 30339-3240
(513) 910-2234
Mailing address
418 AKERS RIDGE DR SE, ATLANTA, GA 30339-3240
(513) 910-2234
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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