Individual
MR. ALEX STEVE GOLDMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002575
GA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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