MITCHELL DOUGLAS GILL

DACULA, GA
NPI1720546815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001510)
Enumeration Date2019-03-07
Last Update Date2019-03-07
Business Address
MITCHELL DOUGLAS GILL ATC
123 BROAD ST
DACULA, GA 30019-2139
Phone number: 404-625-0285
Mailing Address
MITCHELL DOUGLAS GILL ATC
1348 ROLLING STREAM WAY
LAWRENCEVILLE, GA 30043-3862
Phone number: 404-625-0285
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