Individual
COREY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
925 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4302
(908) 868-4089
Mailing address
820 OLD FAIRWAY RD, HUNTSVILLE, AL 35806-6454
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AL
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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