Individual
ETHAN CLOPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 DOLEAC DR APT 726D, HATTIESBURG, MS 39401-3124
(601) 678-2986
Mailing address
105 DOLEAC DR APT 726D, HATTIESBURG, MS 39401-3124
(601) 678-2986
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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