Altaevist Basley

NPI #1295466621 in Jeffersonville, Georgia

Provider Information

NPI Number
1295466621
Entity Type
Individual
Name
Altaevist Basley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Jun 17, 2022
Last Updated
Jun 17, 2022

Practice Location

Address
3235 BALLS CHURCH RD
State
Georgia
ZIP Code
31044-2105
Phone
(478) 233-5118

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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