Individual
MR. TIMOTHY GERALD BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6561 SR-69 S, TUSCALOOSA, AL 35405
(759) 722-1036
Mailing address
1691 OZIER DR, TUSCALOOSA, AL 35405-6788
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
025
AL
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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