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Jackson Mize, ATC
NPI 1881372829 · on the registry since 2023 · sole proprietor
Practice
- Address
- 590 Cobb Avenue Md #0201
Kennesaw, GA 30144 - Phone
- (470) 578-2786
Additional practice sites
- 3200 George Busbee Pkwy Nw, Kennesaw, GA
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia