SHAWN FAYARD

HATTIESBURG, MS
NPI1689908352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0472)
Enumeration Date2009-09-28
Last Update Date2020-10-20
Business Address
SHAWN FAYARD ATC
103 MEDICAL PARK
HATTIESBURG, MS 39401-9042
Phone number: 601-268-5630
Mailing Address
SHAWN FAYARD ATC
PO BOX 778
PURVIS, MS 39475-0778
Phone number: