Individual
TAYLOR JORDAN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 CREEK PT, ALPHARETTA, GA 30004-7556
(470) 813-4771
Mailing address
5310 FALLS DR APT 1210, CUMMING, GA 30028-3540
(470) 813-4771
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004481
GA
Other
Enumeration date
04/27/2023
Last updated
06/26/2024
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