Individual
JOSHUA WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
239 E CHURCH ST, ACKERMAN, MS 39735-9115
(601) 382-2642
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0504
MS
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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