Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLIN BLAKE FREDERICK, LAT, ATC
ActiveCOLLIN BLAKE FREDERICK, LAT, ATC is a Athletic Trainer healthcare provider located in GAINESVILLE, Georgia. NPI 1770050536 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GAINESVILLE, GA
Registration Details
- NPI Number
- 1770050536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2018 (7.7492490164805 yrs)
- Last Updated
- Oct 30, 2018
- License
-
AT003432 (GA)
Practice Information
- Address
-
3005 SARDIS RDGAINESVILLE, GA, 305062232Browse GA providers · Browse ZIP 30506
- Phone
- 9122947908
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in GAINESVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES ROSS DAVIS | ATC | 1356336606 |
| LISA LANE KIMBROUGH-NORTON | MS, LAT, ATC | 1932171683 |
| MS. LEAH MICHELLE GAITHER | ATC | 1871538173 |
| MR. JOHN PATRICK MESSINGER | ATC | 1225255599 |
| MISS COURTNEY ADRIENNE FAUQUET | MS, ATC, NREMT-B | 1710195524 |
| MS. JESSICA RAQUEL MILES | ATC-L | 1457561698 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.