Individual
MATTHEW VERRET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
200 CAPITOL ST, CLINTON, MS 39056-4026
(601) 925-3345
Mailing address
PO BOX 4049, CLINTON, MS 39058-4026
(601) 925-3345
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0454
MS
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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