Shawn Thomas O'Connor, ATC
Specialist/Technologist, Athletic Trainer in Suwanee, GA. Individual provider (NPI-1).
NPI number1700081817
StatusActive
Last updated in NPPESFeb 1, 2008
Details
- NPI
- 1700081817
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shawn Thomas O'Connor
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Feb 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001302 | GA | Yes |
Practice location
1180 Satellite Blvd Nw Ste 100Suwanee, GA 30024-4637
Phone 404-367-2080
Mailing address
5843 Riverside Walk DrSugar Hill, GA 30518-7499
Phone 770-826-1029
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