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ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS LLC NPI 1073737391


NPI Information

NPI: 1073737391
Provider Name: ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS, LLC
Classification: Specialist/Technologist - 2255A2300X
Entity Type: Organization

Specialization: Athletic Trainer

Address:
1229 SALEM GATE DRIVE
CONYERS, GA
ZIP 30013
Phone: (770) 761-2302
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ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS, LLC is an athletic trainer specialist technologist in Conyers, GA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. ACTIVE CARE MEDICAL ASSOCIATES OF CONYERS, LLC NPI is 1073737391. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1229 SALEM GATE DRIVE
CONYERS, GA
ZIP 30013
Phone: (770) 761-2302
Fax: (770) 761-2303

The provider's authorized official is Steven T. Wilder .
The authorized official title is Clinic Director and has the following contact phone number (770) 761-2302.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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