Individual
MRS. DONNA WILBANKS CHAMBLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1701 MAIN AVE SW, CULLMAN, AL 35055-5299
(256) 339-7840
Mailing address
1707 MAIN AVE SW, CULLMAN, AL 35055-5250
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
677
AL
Other
Enumeration date
02/15/2020
Last updated
02/15/2020
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