Individual
MR. LANCE JOSEPH MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT-I, ATC/L
Contact information
Practice address
272 N FIFTH AVE, WINDER, GA 30680-4501
(770) 867-4519
Mailing address
272 N FIFTH AVE, WINDER, GA 30680-4501
(770) 867-4519
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001048
GA
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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