Individual
EMILY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6080 LAKE OAK LNDG, CUMMING, GA 30040-9514
(770) 862-0941
Mailing address
6080 LAKE OAK LNDG, CUMMING, GA 30040-9514
(770) 862-0941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
058123463
GA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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