Provider Demographics
NPI:1609831957
Name:BRITT, GEORGE FULLER JR (ATC)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FULLER
Last Name:BRITT
Suffix:JR
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3419 ENGLISH OAKS DRIVE
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-6034
Mailing Address - Country:US
Mailing Address - Phone:404-314-1558
Mailing Address - Fax:
Practice Address - Street 1:2985 GEORGE BUSBEE PARKWAY
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6812
Practice Address - Country:US
Practice Address - Phone:404-785-8008
Practice Address - Fax:404-785-8003
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAT0006362255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer