Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALTAEVIST BASLEY
Active Sole ProprietorALTAEVIST BASLEY is a Athletic Trainer healthcare provider located in JEFFERSONVILLE, Georgia. NPI 1295466621 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · JEFFERSONVILLE, GA
Registration Details
- NPI Number
- 1295466621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2022 (4.1342206567797 yrs)
- Last Updated
- Jun 17, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3235 BALLS CHURCH RDJEFFERSONVILLE, GA, 310442105Browse GA providers · Browse ZIP 31044
- Phone
- 4782335118
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.