Individual
MISS MARLENA GRACE PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-2663
Mailing address
2037 S COLLEGE ST APT 507, AUBURN, AL 36832-5977
(906) 440-8770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2052
AL
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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