MICHAEL LEE SHIELDS

LIVINGSTON, AL
NPI1437428992
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL  1202)
Enumeration Date2011-12-29
Last Update Date2011-12-29
Business Address
Mr. MICHAEL LEE SHIELDS MAT, ATC
101 ADISON STREET
LIVINGSTON, AL 35470
Phone number: 770-880-1888
Mailing Address
Mr. MICHAEL LEE SHIELDS MAT, ATC
101 ADDISON STREET
LIVINGSTON, AL 35470
Phone number: 770-880-1888
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