Individual
ERIC SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
153 HERSCHEL DR, STATESBORO, GA 30458-2335
(740) 703-9058
Mailing address
153 HERSCHEL DR, STATESBORO, GA 30458-2335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002383
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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