Individual
MS. DEVONA HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CES
Contact information
Practice address
120 PENNEY RD, FOREST PARK, GA 30297-2027
(404) 362-6682
Mailing address
100 POSTMASTER DR UNIT 773, MCDONOUGH, GA 30253-2807
(678) 369-1119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001491
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/23/2014
Last updated
02/04/2015
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