Individual
OLIVIA GRACE CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 483-0011
Mailing address
57 HARMONY BAPTIST CHURCH RD, LOUISVILLE, MS 39339-8985
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1096
MS
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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