Individual
TAYLOR WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
240 MEDICAL PARK BLVD, BRISTOL, TN 37620-7346
(423) 990-2414
Mailing address
221 EASY ST, KINGSPORT, TN 37663-3140
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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