Collin Blake Frederick, LAT, ATC

Athletic Trainer · Gainesville, GA

Individual Active NPI

NPI number 1770050536

Practice location

3005 Sardis Rd
Gainesville, GA 30506-2232
Phone
(912) 294-7908

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NPI record

NPI
1770050536
Entity type
Individual (Type 1)
Enumeration date
October 30, 2018
Last updated
October 30, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT003432 GA

Mailing address

76 Horserange Vista Ct
Cleveland, GA 30528-2387
Phone
(912) 294-7908

About Collin Frederick

Collin Blake Frederick, LAT, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3005 Sardis Rd, Gainesville, GA 30506-2232. The NPI number 1770050536 was assigned on October 30, 2018 and the record was last updated on October 30, 2018.

Collin Frederick lists a license in the registry: #AT003432 (GA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Collin Blake Frederick, LAT, ATC?

The NPI number is 1770050536.

What is the phone number of Collin Frederick?

The phone number listed for the practice location is (912) 294-7908.

Where is Collin Frederick located?

3005 Sardis Rd, Gainesville, GA 30506-2232.

What is the taxonomy code for Collin Frederick?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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