Individual
LASHELLE DAVIS-IVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
301 WIRE RD, AUBURN, AL 36849-5419
(330) 338-6714
Mailing address
4570 SAINT MARYS RD, APT G13, COLUMBUS, GA 31907-6566
(330) 338-6714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002844
GA
Other
Enumeration date
01/04/2016
Last updated
05/31/2016
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