Individual
MR. FREDRICK L. ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, MS
Contact information
Practice address
1400 J R LYNCH ST, JACKSON, MS 39217-0002
(601) 979-7032
Mailing address
PO BOX 1722, BRANDON, MS 39043-1722
(601) 825-4495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MS
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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