George Johnnie Anderson, ATC
Individual provider Active NPI Athletic Trainer · Gallatin, TN
NPI 1003467523 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1003467523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 363 (TN)
- Practice address
- 210 Preston LN
Gallatin, TN 37066-1499 - Phone
- (615) 604-3076
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- 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 |
|---|---|---|---|
| 363 | TN | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 363 | TN | Yes |
Addresses
Primary practice location
210 Preston LN
Gallatin, TN 37066-1499
Mailing address
210 Preston LN
Gallatin, TN 37066-1499
Other providers in Gallatin, TN
- Danielle Allen
- Leslie Lynn Allen
- Allergy and Asthma Medicine, P.C.
- Kaylee Ann Alonzo
- Amber Owens Counseling PLLC
- Laura Anderson
- Susan M Anderson
- Caroline Anerin
- Anesthesia Partners of Gallatin, LLC
- Anesthesia Services Associates, PLLC
All providers in Gallatin, TN · Athletic Trainer in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. 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.