MR. Richard Mahieu, MED., ATC

NPI #1104270081 in Monroe, Georgia

Provider Information

NPI Number
1104270081
Entity Type
Individual
Name
MR. Richard Mahieu, MED., ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MED., ATC
Enumeration Date
Apr 18, 2016
Last Updated
Apr 18, 2016

Practice Location

Address
1219 W SPRING ST
City
Monroe
State
Georgia
ZIP Code
30655-1756
Phone
(770) 207-6624

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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