Individual
SAMUEL LEE EMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 E 4TH ST, CHATTANOOGA, TN 37403-1925
(423) 425-4706
Mailing address
8275 BOOTH BAY DR, HIXSON, TN 37343-2089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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