Individual
MR. JERRY REESE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
218 ELAM ST, GORDON, GA 31031-2502
(478) 628-5888
Mailing address
218 ELAM ST, GORDON, GA 31031-2502
(478) 628-5888
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
05/31/2021
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