FREDRICK EARL WORTHY

WIGGINS, MS
NPI1679536734
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0152)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
Mr. FREDRICK EARL WORTHY ATC/L
400 BORDER AVE E
WIGGINS, MS 39577-2822
Phone number: 601-928-5492
Mailing Address
Mr. FREDRICK EARL WORTHY ATC/L
328 STILLWAY DR
WIGGINS, MS 39577-2902
Phone number: 601-503-0824
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