Healthcare Provider Details

I. General information

NPI: 1053348540
Provider Name (Legal Business Name): DEBORAH ROBINSON MACLEAN A.T.,C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HEALTHWORKS/THE COCA-COLA COMPANY ONE COCA-COLA PLAZA - HMC
ATLANTA GA
30313
US

IV. Provider business mailing address

HEALTHWORKS/THE COCA-COLA COMPANY ONE COCA-COLA PLAZA - HMC
ATLANTA GA
30313
US

V. Phone/Fax

Practice location:
  • Phone: 404-676-2841
  • Fax: 404-598-2841
Mailing address:
  • Phone: 404-676-2841
  • Fax: 404-598-2841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number0049
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: