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Contact Information

ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS, LLC
1229 SALEM GATE DRIVE
CONYERS, GA30013
 Phone: 770-761-2302
 Fax: 770-761-2303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS LLC · (Female)

NPI # 1073737391
Status Active
Credentials
Entity Individual
Enumeration date 04/11/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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