Individual
JEREMIAH FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
608 13TH STREET S, BIRMINGHAM, AL 35294-2650
(315) 506-3348
Mailing address
608 13TH ST, BIRMINGHAM, AL 35228-2430
(315) 506-3348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2753
AL
Other
Enumeration date
02/23/2016
Last updated
01/26/2024
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