MR. Johnny Allen Grooms

NPI #1154705119 in Paragould, Arkansas

Provider Information

NPI Number
1154705119
Entity Type
Individual
Name
MR. Johnny Allen Grooms
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jul 19, 2015
Last Updated
Jul 19, 2015

Practice Location

Address
1808 CLOVERDALE ST
ZIP Code
72450-5894
Phone
(870) 476-9698

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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