Individual
RON SHINAULT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 SMITH ST, STEGEMAN COLISUEM, ATHENS, GA 30603-1472
(706) 583-8074
Mailing address
120 HARDIN DR, ATHENS, GA 30605-1520
(706) 583-8074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00872
GA
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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