Individual
BENJAMIN KYLE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 SAUNDERS RD, PORTAL, GA 30450-4521
(706) 818-5308
Mailing address
1202 SAUNDERS RD, PORTAL, GA 30450-4521
(706) 818-5308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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