Individual
CHARLES JAMES RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1450 HIGHWAY 6 E, BATESVILLE, MS 38606-9213
(662) 563-4116
Mailing address
8417 W ASKERSUND CV, CORDOVA, TN 38018-6837
(903) 969-0545
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0897
MS
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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