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Individual

MARCUS WILLIAM HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC/L CSCS

Contact information

Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 380-4014
Mailing address
4136 WAR EMBLEM LN, MURFREESBORO, TN 37128-4297
(901) 277-1947

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001317
TN

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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