Jonathan Paul Born, MS, LAT, ATC
Specialist/Technologist, Athletic Trainer in Oakwood, GA. Individual provider (NPI-1).
NPI number1073998639
StatusActive
Last updated in NPPESNov 22, 2016
Details
- NPI
- 1073998639
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Paul Born
- Credential
- MS, LAT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2015
- Last updated
- Nov 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002725 | GA | Yes |
Practice location
4220 Mundy Mill PlSuite 2b
Oakwood, GA 30566-2573
Phone 678-450-9933 · Fax 678-450-9966
Mailing address
2400 Wisteria DrSuite A
Snellville, GA 30078-2689
Phone 770-982-0102 · Fax 770-982-0130
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