Individual
ELIZABETH NICOLE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT
Contact information
Practice address
5630 SNOWBERRY DR, SUGAR HILL, GA 30518-7605
(678) 472-0191
Mailing address
5630 SNOWBERRY DR, SUGAR HILL, GA 30518-7605
(678) 472-0191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002290
GA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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