MISS Crystal V Small, ATC

NPI #1871618231 in Fort Valley, Georgia

Provider Information

NPI Number
1871618231
Entity Type
Individual
Name
MISS Crystal V Small, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 21, 2007
Last Updated
Feb 21, 2008

Practice Location

Address
1005 STATE UNIVERSITY DR
Address 2
DEPARTMENT OF ATHLETICS
State
Georgia
ZIP Code
31030-4313
Phone
(478) 825-6195

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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