Individual
DR. REBECCA ABIGAIL DONDANVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EDD
Contact information
Practice address
1021 CENTRAL AVE, DEMOREST, GA 30535
(706) 778-8500
Mailing address
160 MALLARD POND CIR, ALTO, GA 30510-3033
(704) 221-1311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0663
NC
2255A2300X
Athletic Trainer
AL 566
FL
2255A2300X
Athletic Trainer
Primary
AT002431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029602556
BOARD OF CERTIFICATION
—
Enumeration date
12/01/2006
Last updated
08/29/2018
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