Individual
MR. JASON B PEAVY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 ADAMS ST, GREENVILLE, AL 36037-2602
(334) 382-5308
(334) 382-9484
Mailing address
243 CLOVERDALE LN, GREENVILLE, AL 36037-4239
(334) 382-6600
(334) 382-9484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
639
AL
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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