Individual
AUTUMN PARSONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 PHILEMA RD S, LEESBURG, GA 31763-3279
(912) 492-7004
Mailing address
1186 PHILEMA RD S, LEESBURG, GA 31763-3279
(912) 492-7004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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