ROB ANTONIO DICKS

LAGRANGE, GA
NPI1992739387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: GA  AT000919)
Enumeration Date2006-07-10
Last Update Date2021-12-13
Business Address
MR. ROB ANTONIO DICKS MA, ATC, LAT
601 BROAD ST
LAGRANGE, GA 30240-2955
Phone number: 706-880-8099
Mailing Address
MR. ROB ANTONIO DICKS MA, ATC, LAT
601 BROAD ST
LAGRANGE, GA 30240-2999
Phone number: 706-880-8099