Individual
AIDAN AUGUST BROKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 E 45TH ST, SAVANNAH, GA 31405-2112
(912) 659-7679
Mailing address
1 E 45TH ST, SAVANNAH, GA 31405-2112
(912) 659-7679
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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