Individual
JEREMY HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
221 WARRIOR DR, SENATOBIA, MS 38668-2726
(337) 794-9314
Mailing address
493 COUNTRY CLUB DR, SENATOBIA, MS 38668-6316
(337) 794-9314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0617
MS
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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