Samantha Ann Liddy, ATC

NPI #1366753733 in Kingsland, Georgia

Provider Information

NPI Number
1366753733
Entity Type
Individual
Name
Samantha Ann Liddy, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 30, 2010
Last Updated
Jun 30, 2010

Practice Location

Address
100 A LINDSEY LANE
State
Georgia
ZIP Code
31548-0000
Phone
(912) 729-1333

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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