Individual
MR. DOUGLAS NOLAN WARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
1180 SATELLITE BLVD NW, SUWANEE, GA 30024-4636
(770) 865-8469
Mailing address
1180 SATELLITE BLVD NW, SUWANEE, GA 30024-4636
(770) 865-8469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001680
GA
Other
Enumeration date
07/24/2007
Last updated
12/07/2009
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