Individual
MATT BENJAMIN TAYLOR II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3814 MORDECAI LN, MOBILE, AL 36608-2008
(251) 295-4176
Mailing address
3814 MORDECAI LN, MOBILE, AL 36608-2008
(251) 295-4176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000037856
AL
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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