MS. Samantha Nicole Izzo

NPI #1174088561 in Senoia, Georgia

Provider Information

NPI Number
1174088561
Entity Type
Individual
Name
MS. Samantha Nicole Izzo
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Feb 10, 2019
Last Updated
Feb 10, 2019

Practice Location

Address
40 WINDWARD CT
City
Senoia
State
Georgia
ZIP Code
30276-2363
Phone
(631) 873-6235

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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