Jacob Alan Oliverson
Jacob Alan Oliverson is an Athletic Trainer in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2022.
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
2505 Newpoint PkwyLawrenceville, GA 30043-6003
Phone: (678) 257-7078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT004058 (GA) |
|---|
Record details
| NPI number | 1306591771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 4263 Winslow Hill Ct, Suwanee, GA 30024-3766 |
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