Individual
MR. JOHN LAFAYETTE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1794 S BETHEL RD STE C, DECATUR, AL 35603-5410
(254) 391-4223
Mailing address
71 PARTRIDGE RD, DECATUR, AL 35603-6018
(325) 439-1422
(254) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1021
AL
2255A2300X
Athletic Trainer
AT1903
TX
Other
Enumeration date
02/22/2006
Last updated
07/26/2021
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