Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE MACK, ATC
ActiveKELLIE MACK, ATC is a Athletic Trainer healthcare provider located in VIDALIA, Georgia. NPI 1972271765 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · VIDALIA, GA
Registration Details
- NPI Number
- 1972271765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 6, 2021 (4.9030251396494 yrs)
- Last Updated
- Sep 6, 2021
Practice Information
- Address
-
709 ALLEN DRVIDALIA, GA, 304746348Browse GA providers · Browse ZIP 30474
- Phone
- 9123732568
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| MARY W BENNETT | ATC, LAT | 1134158538 |
| MR. SHANNON BRANTLEY | P.T, A.T.C. | 1609081942 |
| MRS. MINDY SHOOK ELLIS | ATC | 1720412265 |
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.