Individual
MR. ANDREW JACKSON GRUBBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3408
Mailing address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 494-3408
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000986
GA
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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