| NPI | 1033111638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P HIGGS Athletic Trainer 478-445-1787 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA 140) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2015-10-02 |