Individual
GRANT WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, OPA-C
Contact information
Practice address
100 MCGUIRE LN, PELHAM, AL 35124-3614
(205) 587-8963
Mailing address
2320 WAKITA DR SE, MARIETTA, GA 30060-5568
(205) 587-8963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000031572
AL
Other
Enumeration date
05/24/2018
Last updated
12/06/2021
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