Sophia Nicole Brown, ATC
Individual provider Active NPI Athletic Trainer · Adairsville, GA
NPI 1003176504 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1003176504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT001779 (GA)
- Practice address
- 7423 Adairsville Hwy
Adairsville, GA 30103-2014 - Phone
- (770) 773-9315
- Fax
- (770) 773-9717
- NPI assigned
- May 18, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT001779 | GA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001779 | GA | Yes |
Addresses
Primary practice location
7423 Adairsville Hwy
Adairsville, GA 30103-2014
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2774
Other providers in Adairsville, GA
- Patty Allmon
- Tamela Baker
- Eric Glen Borstelmann
- Bradley and Brandy Neighborhood Pharmacy LLC
- Karmyn Brown
- Sylvia Sue Chester
- Jacqueline Cauprice Clance
- Aaron Joshua Cole
- Community Hospice of Georgia
- Joyce Coomer
All providers in Adairsville, GA · Athletic Trainer in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.