Individual
ALAN L TINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 519-6950
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 519-6950
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0469
MS
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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