Individual
NATHAN TYLER BORGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAED, LAT, ATC, CSCS
Contact information
Practice address
6632 DIXIE RD, COLUMBUS, GA 31905-4218
(706) 545-1788
Mailing address
3609 14TH AVE, COLUMBUS, GA 31904-7840
(336) 707-6548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003340
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT003340
GEORGIA BOARD OF LICENSING
GA
Enumeration date
07/18/2018
Last updated
07/18/2018
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