Individual
MADILYN HOPE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
PO BOX 158, SCOOBA, MS 39358-0158
(205) 614-2037
Mailing address
11707 BELLE MEADE CIR, NORTHPORT, AL 35475-4899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1147
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2023
Last updated
05/26/2025
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