Ethan Stone

NPI #1295372738 in Hazlehurst, Georgia

Provider Information

NPI Number
1295372738
Entity Type
Individual
Name
Ethan Stone
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Dec 3, 2019
Last Updated
Dec 3, 2019

Practice Location

Address
11 SPELL RD
State
Georgia
ZIP Code
31539-5341
Phone
(912) 253-5179

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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