Charles Edward Grant, ATC Valid NPI

Individual provider · Athletic Trainer · Rincon, GA

NPI

1487962015

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

AT001167 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2010-09-16

Last updated

2010-09-16