Individual
MR. TIMOTHY E. COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
630 JANE ST, CLEVELAND, MS 38732-2020
(662) 719-9153
Mailing address
630 JANE ST, CLEVELAND, MS 38732-2020
(662) 719-9153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0166
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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