Individual
MR. BENJAMIN J GEARHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MED.
Contact information
Practice address
75 COLLEGE DR, MONTEVALLO, AL 35115-3732
(812) 603-4434
Mailing address
75 COLLEGE DR, MONTEVALLO, AL 35115-3732
(812) 603-4434
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1662
AL
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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