Individual
MR. RODERICK ALEXANDER YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C L.A.T.
Contact information
Practice address
547 HEATHERWOOD DR, JACKSON, MS 39212-4707
(601) 502-1815
Mailing address
547 HEATHERWOOD DR, JACKSON, MS 39212-4707
(601) 502-1815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0645
MS
Other
Enumeration date
05/22/2015
Last updated
06/07/2016
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