Individual
MR. JOHN WILLIAM ELLIOTT-GOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
6262 VETERANS PKWY, COLUMBUS, GA 31909-3540
(706) 324-6661
Mailing address
185 HILLCREST AVE, ATHENS, GA 30606-2943
(706) 248-3208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2030
AL
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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