Individual
CHAD IAN PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
DEPARTMENT OF INTERCOLLEGATE ATHLETICS, RM.118 FIELDHOUSE, UNIVERSITY, MS 38677
(662) 915-7536
(662) 915-5275
Mailing address
1005 CHICKASAW RD, OXFORD, MS 38655-2707
(662) 236-5802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0353
MS
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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