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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIANNA WALLACE, LAT, ATC

Active Sole Proprietor

BRIANNA WALLACE, LAT, ATC is a Athletic Trainer healthcare provider located in HIAWASSEE, Georgia. NPI 1851047757 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · HIAWASSEE, GA

Registration Details

NPI Number
1851047757
Provider Type
Individual
Gender
Female
NPI Issued
Mar 1, 2022 (4.4563025022896 yrs)
Last Updated
Aug 22, 2023
License
AT004335 (GA)
Sole Proprietor
Yes

Practice Information

Address
1400 HIGHWAY 76 E
HIAWASSEE, GA, 305463960
Browse GA providers · Browse ZIP 30546
Phone
7063744014
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in HIAWASSEE, GA

Name Credential NPI
TAMARA MARIE SANDLER ATC 1457982597
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.