Individual
CAITLIN BRIANA MOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, LAT, ATC
Contact information
Practice address
134 W CAMPUS DR, CAMPUS BOX 126, MILLEDGEVILLE, GA 31061-3639
(478) 445-8672
Mailing address
134 W CAMPUS DR, CAMPUS BOX 126, MILLEDGEVILLE, GA 31061-3639
(478) 445-8672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003057
GA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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