Individual
MR. ANTHONY GUS PIRCHIO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
100 SMITH ST, STEGEMAN COLISEUM, ATHENS, GA 30602-1505
(706) 542-6521
(706) 542-7707
Mailing address
165 VISTA DR, ATHENS, GA 30605-3731
(706) 613-9827
(706) 542-7707
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
GA
Enumeration date
04/25/2006
Last updated
07/08/2007
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