Individual
MR. JEREMY FREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
651 MAIN ST, SUITE 115, GARDENDALE, AL 35071-2789
(205) 608-3113
Mailing address
411 CHAPEL CREEK LN, FULTONDALE, AL 35068-6038
(256) 238-3320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1561
AL
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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