Individual
RICHARD ALLEN GUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 LAKE EDDINS 16384A, PACHUTA, MS 39347-5167
(601) 938-9843
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 938-9843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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