SAMANTHA ANN LIDDY

KINGSLAND, GA
NPI1366753733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL2498)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001475)
Enumeration Date2010-06-30
Last Update Date2010-06-30
Business Address
-- SAMANTHA ANN LIDDY ATC
100 A LINDSEY LANE
KINGSLAND, GA 31548-0000
Phone number: 912-729-1333
Mailing Address
-- SAMANTHA ANN LIDDY ATC
PO BOX 949
ROME, GA 30162-0949
Phone number: 706-802-1991
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