Individual
JARED PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
210 EAGLES NEST LN, OXFORD, MS 38655-5990
(662) 816-6575
(662) 915-1833
Mailing address
210 EAGLES NEST LN, OXFORD, MS 38655-5990
(662) 816-6575
(662) 915-1833
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0515
MS
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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