MS. Michelle Denise St Clair, HEALTH CARE PROVIDER

NPI #1124466750 in Lithonia, Georgia

Provider Information

NPI Number
1124466750
Entity Type
Individual
Name
MS. Michelle Denise St Clair, HEALTH CARE PROVIDER
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
HEALTH CARE PROVIDER
Enumeration Date
Jun 5, 2013
Last Updated
Jun 28, 2013

Practice Location

Address
841 PLUMBRIDGE CT
State
Georgia
ZIP Code
30058-9020
Phone
(678) 677-1225

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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