Individual
ZACHARY GRAY MARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2429 5TH ST N, COLUMBUS, MS 39705-2005
(662) 328-4542
Mailing address
2429 5TH ST N, COLUMBUS, MS 39705-2005
(662) 328-4542
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1654
AL
2255A2300X
Athletic Trainer
Primary
AT0743
MS
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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