Provider Demographics
NPI:1912046269
Name:SHOOP, JAMES L (ATC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:SHOOP
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:150 BOBBY DODD WAY
Mailing Address - Street 2:GTAA
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30332-0001
Mailing Address - Country:US
Mailing Address - Phone:404-894-5461
Mailing Address - Fax:404-894-0695
Practice Address - Street 1:150 BOBBY DODD WAY
Practice Address - Street 2:GTAA
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30332-0001
Practice Address - Country:US
Practice Address - Phone:404-894-5461
Practice Address - Fax:404-894-0695
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0072255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer