Individual
STEVE EDWARD GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
1429 GENIE FAIRWAY, GREENVILLE, MS 38701-7040
(662) 378-3157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATOO12
MS
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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