GINA C LEE (NPI# 1710528823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528823 |
| Entity Type | Individual |
| Full Name | GINA C LEE |
| Credential | ATC, LAT |
| Practice Address |
332 Jetta Ln Canton GA 30115-8614 |
| Practice Telephone | 6787877473 |
| Mailing Telephone | 6787877473 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003167 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281667 | Gina Won Lee | Physician Assistant | 4340 Simmons St Ste 102, North Las Vegas, NV 89032-3222 | 2020-10-05 |
| 1013426105 | Gina Lee | Pharmacist | 10 Meadowlark Ln, Oyster Bay, NY 11771-3310 | 2017-09-21 |
| 1083037964 | Gina Lee | Nurse Practitioner | 5836 254th St, Little Neck, NY 11362-2124 | 2014-01-28 |
| 1003240789 | Gina Jin Lee | Pharmacist | 5547 Winford Ct, Fairfax, VA 22032-4017 | 2013-08-29 |
| 1316276215 | Gina Lee | Acupuncturist | 3330 Danaha St, Torrance, CA 90505 | 2009-12-24 |
| 1851412803 | Gina J Lee | Dentist | 10411 Moncreiffe Rd, Suite 105a, Raleigh, NC 27617-7819 | 2007-04-03 |
| 1174147607 | Gina Lee | Advanced Practice Midwife | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2020-06-01 |
| 1851928592 | Gina Lee | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-24 |
| 1023655206 | Gina Lee | Pharmacist | 201 Sw 20th St, Pendleton, OR 97801-1864 | 2019-12-05 |
| 1225695323 | Gina Lee | Pharmacist | 1064 Wilmot Rd, Scarsdale, NY 10583-6863 | 2019-05-23 |
| Street Address |
332 JETTA LN |
| City | CANTON |
| State | GA |
| Zip Code | 30115-8614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| 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. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1467070524 | Tyler Thomas Harvey | Specialist/Technologist | 1221 Valleyview Ave Sw, Canton, OH 44710-1427 | 2020-07-06 |
| 1093353443 | Kelsey Rasky | Specialist/Technologist | 501 Kings Way, Canton, MI 48188-1188 | 2019-12-17 |
| 1811538531 | Amanda Leigh Hambrick | Specialist/Technologist | 551 Winder Trl, Canton, GA 30114-7539 | 2019-10-03 |
| 1689223521 | Judith Chancey | Specialist/Technologist | 150 Lake Reserve Way, Canton, GA 30115-4784 | 2019-09-04 |
| 1922654169 | Martin W Kidder | Specialist/Technologist | 270 E Hill Rd, Canton, CT 06019-2117 | 2019-08-14 |
| 1700438363 | Ryan Gernert | Specialist/Technologist | 5323 Gardendale Ave Ne, Canton, OH 44714-1042 | 2019-07-14 |
| 1508345158 | Bridgette Idette Banks | Specialist/Technologist | 111 Hickory Knoll Dr Apt 401, Canton, GA 30114-2444 | 2018-08-13 |
| 1851884001 | Matthew Gee | Specialist/Technologist | 514 Haley Farm Rd, Canton, GA 30115-6176 | 2018-06-12 |
| 1336637214 | Sarah Muccillo | Specialist/Technologist | 30 Laurel Canyon Village Cir Apt 5203, Canton, GA 30114-4606 | 2018-04-26 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.