Juan Alexander Alonso, MS,LAT,ATC

NPI #1194283713 in Baxley, Georgia

Provider Information

NPI Number
1194283713
Entity Type
Individual
Name
Juan Alexander Alonso, MS,LAT,ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MS,LAT,ATC
Enumeration Date
Mar 4, 2019
Last Updated
Mar 4, 2019

Practice Location

Address
482 BLACKSHEAR HWY
City
Baxley
State
Georgia
ZIP Code
31513-6708
Phone
(912) 367-8610

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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