Individual
JACOB GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 HOBSON CIR, PIEDMONT, AL 36272-7626
(256) 452-3269
Mailing address
250 HOBSON CIR, PIEDMONT, AL 36272-7626
(256) 452-3269
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2020
Last updated
07/27/2022
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