Individual
MR. PRESTON CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 565-1000
Mailing address
1808 BECKY LN, SCOTTSBORO, AL 35769-3935
(256) 599-6099
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
855
AL
Other
Enumeration date
10/24/2006
Last updated
09/06/2012
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