Individual
MITCHELL MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CES
Contact information
Practice address
1 SELIG CIR, ATHENS, GA 30602-1501
(706) 542-1515
Mailing address
1003 MAPLE CREEK DR, LOGANVILLE, GA 30052-7113
(770) 238-9821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10401253-4810
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/07/2016
Last updated
04/17/2019
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