MR. Charles Edward Grant JR., ATC

NPI #1487962015 in Rincon, Georgia

Provider Information

NPI Number
1487962015
Entity Type
Individual
Name
MR. Charles Edward Grant JR., ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Sep 16, 2010
Last Updated
Sep 16, 2010

Practice Location

Address
405 ANGEL CT
City
Rincon
State
Georgia
ZIP Code
31326-5562
Phone
(912) 728-7511

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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