ALTAEVIST BASLEY

JEFFERSONVILLE, GA
NPI1295466621
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-06-17
Last Update Date2022-06-17
Business Address
ALTAEVIST BASLEY
3235 BALLS CHURCH RD
JEFFERSONVILLE, GA 31044-2105
Phone number: 478-233-5118
Mailing Address
ALTAEVIST BASLEY
3235 BALLS CHURCH RD
JEFFERSONVILLE, GA 31044-2105
Phone number: 478-233-5118