Individual
EMILY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RIVER RD, ATHENS, GA 30602-1538
(828) 507-6767
Mailing address
244 RUTH ST, ATHENS, GA 30601-2121
(770) 880-6593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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