Individual
ALICIA THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
200 CAPITOL ST, CLINTON, MS 39056-4026
(601) 925-7361
Mailing address
PO BOX 4049, CLINTON, MS 39058-0001
(601) 925-7361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0527
MS
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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