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NPI Code Detail

MEDICARE: MR. JAMISON LEE FRENCH ATC

MEDICARE: MR. JAMISON LEE FRENCH ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic TrainerAT-1089OH

General Provider Information

NPI Number : 1447289079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMISON LEE FRENCH ATC
Provider Business Mailing Address
First Line : 5300 WINCHESTER CATHEDRAL DR
Second Line :
City : CANAL WINCHESTER
State : OH
Zip : 43110-8337
Country : US
Telephone Number : 614-834-9918
Fax Number :
Provider Business Practice Location Address
First Line : 1216 SUNBURY RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-2086
Country : US
Telephone Number : 614-253-4864
Fax Number : 614-251-2556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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