Individual
VICTORIA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 MISTY CT, STATESBORO, GA 30461-7918
(912) 486-0623
Mailing address
1105 MISTY CT, STATESBORO, GA 30461-7918
(912) 486-0623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2505
AL
Other
Enumeration date
08/17/2018
Last updated
08/03/2021
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