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Contact Information

JACQUELINE A LUPTON, LAT, ATC
824 STILLWOOD DR
SAVANNAH, GA31419-2643
 Phone: 912-961-8764
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JACQUELINE A LUPTON · (Female)

NPI # 1053840413
Status Active
Credentials LAT, ATC
Entity Individual
Enumeration date 06/08/2017
Last updated 08/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 2000028113
  • GA License # AT004124
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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