Individual provider · NPI-1

Mary Spencer Cain, ATC, LAT

Specialist/Technologist, Athletic Trainer · Marietta, GA

NPI number1972874923
StatusActive
Last updated in NPPESJan 23, 2012

Details

NPI
1972874923
Entity type
Individual (NPI-1)
Name
Ms. Mary Spencer Cain
Credential
ATC, LAT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 23, 2012
Last updated
Jan 23, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic TrainerAT001893GAYes

Practice location

700 Cobb Pkwy N
Marietta, GA 30062-2404

Phone 770-427-2689

Mailing address

2850 Delk Rd Se
Apt 35-C
Marietta, GA 30067-5352

Phone 704-813-5895

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