Individual
ANTHONY TAYLOR PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
(256) 782-5582
(256) 782-8515
Mailing address
700 PELHAM RD N, JACKSONVILLE, AL 36265-1602
(256) 782-5582
(256) 782-8515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2715
AL
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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