Individual
BRADY JAMES ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3203 CARROLL ULMER RD, VALDOSTA, GA 31601-2133
(229) 251-0173
Mailing address
3203 CARROLL ULMER RD, VALDOSTA, GA 31601-2133
(229) 251-0173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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