Individual
JEREMIAH MOBLEY
Active
Individual
JEREMIAH MOBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBID, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001625
GA
237700000X
Hearing Instrument Specialist
Primary
HAA000150
GA
Other
Enumeration date
05/20/2016
Last updated
10/01/2019
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