Individual
MR. JOHN MOLLISON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
20759 COUNTY ROAD 101, ANDALUSIA, AL 36420-8825
(334) 222-6675
(334) 222-6983
Mailing address
20759 COUNTY ROAD 101, ANDALUSIA, AL 36420-8825
(334) 222-6675
(334) 222-6983
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
191
AL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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