Michael Minicozzi, ATC

NPI #1093336729 in Kathleen, Georgia

Provider Information

NPI Number
1093336729
Entity Type
Individual
Name
Michael Minicozzi, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
May 5, 2020
Last Updated
May 5, 2020

Practice Location

Address
95 DUKE LN
State
Georgia
ZIP Code
31047-3201
Phone
(478) 456-5019

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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