Lisa Michele Adkins, ATC

Individual provider Active NPI Athletic Trainer · Augusta, GA

NPI 1609095892 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609095892
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
AT000820 (GA)
Practice address
937 15TH St
Augusta, GA 30912-0008
Phone
(706) 231-6008
NPI assigned
Apr 25, 2007
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

LicenseStateTypeSpecialty
AT000820GAMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT000820 GA Yes

Addresses

Primary practice location

937 15TH St
Augusta, GA 30912-0008

Mailing address

112 Rock Rose Dr
North Augusta, SC 29860-8656
Phone (706) 399-8984

Other providers in Augusta, GA

All providers in Augusta, GA · Athletic Trainer in Georgia

Sources for this page

Verify at the official NPI Registry.