Individual
DEVON LEE MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 RIVER RD, ATHENS, GA 30602-1538
(706) 542-5060
Mailing address
39 PINE HOLW, ATHENS, GA 30601-5527
(912) 237-4001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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