Individual
JONATHAN LEE PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(601) 266-5830
Mailing address
118 COLLEGE DR BOX #5017, HATTIESBURG, MS 39406-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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