Individual
TROY WILLIAM PEPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8725
(228) 467-8724
Mailing address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8725
(228) 467-8724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0241
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029902528
NATABOC
MS
01
—
962312
NATA
MS
01
—
AT0241
STATE LICENSE NUMBER-AT
MS
Enumeration date
04/06/2006
Last updated
09/24/2009
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