Individual
PHILIP K PIEPLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., ATC, LAT
Contact information
Practice address
1112 N SAINT AUGUSTINE RD, VALDOSTA, GA 31601-3545
(229) 245-2260
Mailing address
1112 N SAINT AUGUSTINE RD, VALDOSTA, GA 31601-3545
(229) 245-2260
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
486
GA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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