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Contact Information

REBECCA G NYQUIST, ATC
1765 OLD WEST BROAD STREET
BUILDING 2, SUITE 200
ATHENS, GA30606
 Phone: 706-549-1663
 Fax: 706-546-8792
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for REBECCA G NYQUIST · (Female)

NPI Number 1932340700
Status Active
Credentials ATC
Entity Individual
Enumeration date 03/09/2009
Last updated 12/06/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # AT001631
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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