Individual
MR. WAYNE WESLEY MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-7101
Mailing address
111 SCARBOROUGH CIR, NEW MARKET, AL 35761-9264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
407
AL
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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