Jeremy Keith King, M.ED, LAT, ATC, ITAT

NPI #1164939849 in Blue Ridge, Georgia

Provider Information

NPI Number
1164939849
Entity Type
Individual
Name
Jeremy Keith King, M.ED, LAT, ATC, ITAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
M.ED, LAT, ATC, ITAT
Enumeration Date
Jan 4, 2018
Last Updated
Jan 4, 2018

Practice Location

Address
360 REBELS CIR
State
Georgia
ZIP Code
30513-8137
Phone
(706) 455-5134

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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