Individual
MR. MAYFIELD BOOTH ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4847
(205) 746-2600
(205) 425-1594
Mailing address
401 MENARD ST, THIBODAUX, LA 70301-3519
(205) 746-2600
(205) 425-1594
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH. J00023
LA
Other
Enumeration date
12/15/2008
Last updated
12/19/2014
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