Organization
UNIVERSITY OF MONTEVALLO
Active
Other names
Montevallo Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREN GREGORY LAT ATC (HEAD ATHLETIC TRAINER)
(205) 665-6602
Entity
Organization
Contact information
Practice address
75 COLLEGE DR, STATION 6060, MONTEVALLO, AL 35115-3732
(205) 665-6602
(205) 665-6614
Mailing address
75 COLLEGE DR, STATION 6602, MONTEVALLO, AL 35115-3732
(205) 665-6602
(205) 665-6614
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Enumeration date
09/23/2014
Last updated
03/05/2025
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