Kellie Mack, ATC
Athletic Trainer · Vidalia, GA
NPI number
1972271765
Practice location
709 Allen DrVidalia, GA 30474-6348
- Phone
- (912) 373-2568
NPI record
- NPI
- 1972271765
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2021
- Last updated
- September 6, 2021
- Certified
- September 6, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
— | — |
About Kellie Mack
Kellie Mack, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 709 Allen Dr, Vidalia, GA 30474-6348. The NPI number 1972271765 was assigned on September 6, 2021 and the record was last updated on September 6, 2021.
Frequently asked questions
What is the NPI number of Kellie Mack, ATC?
The NPI number is 1972271765.
What is the phone number of Kellie Mack?
The phone number listed for the practice location is (912) 373-2568.
Where is Kellie Mack located?
709 Allen Dr, Vidalia, GA 30474-6348.
What is the taxonomy code for Kellie Mack?
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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- Meadows Regional Medical Center101 Harris Industrial Blvd
- Shannon Brantley, P.T, A.T.C.101 Harris Industrial Blvd
- Mindy Shook Ellis, ATC101 Harris Industrial Blvd