Individual
MR. ERNEST GREGORY EUGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, CES
Contact information
Practice address
605 WASHINGTON ST SW, BLACKSBURG, VA 24061-1064
(540) 231-4071
(540) 231-7335
Mailing address
435 MAJESTIC DR, CHRISTIANSBURG, VA 24073-5077
(301) 537-8188
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002142
VA
2255A2300X
Athletic Trainer
1033-39
WI
2255A2300X
Athletic Trainer
AT.001873
OH
Other
Enumeration date
08/18/2014
Last updated
01/17/2018
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