Individual
KIRK ASHLEY RANSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
624 S HOUSTON LAKE RD, WARNER ROBINS, GA 31088-9017
(478) 971-7033
Mailing address
206 RIGBY CT, WARNER ROBINS, GA 31088-2023
(478) 333-6027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001181
GA
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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