NPI 1235105032

Diane Green King, ATCRDCSSD

Practitioner Athletic Trainer Cumming, GA

Practice location

Address: 410 Peachtree Pkwy Suite 300, Cumming, GA 30041-7066
Phone: (404) 354-0008
Mailing address: 328 Rhodes House CT, Suwanee, GA 30024-6472

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 111 (GA)

Other Specialist/Technologist providers in Georgia →

Registry record

NPI: 1235105032
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2006
Record last updated: 3 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.