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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWN FAYARD, ATC

Active Sole Proprietor

SHAWN FAYARD, ATC is a Athletic Trainer healthcare provider located in HATTIESBURG, Mississippi. NPI 1689908352 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · HATTIESBURG, MS

Registration Details

NPI Number
1689908352
Provider Type
Individual
Gender
Male
NPI Issued
Sep 28, 2009 (16.835649282148 yrs)
Last Updated
Oct 20, 2020
License
AT0472 (MS)
Sole Proprietor
Yes

Practice Information

Address
103 MEDICAL PARK
HATTIESBURG, MS, 394019042
Browse MS providers · Browse ZIP 39401
Phone
6012685630
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in HATTIESBURG, MS

Name Credential NPI
JEFFREY J PARR PHD, ATC, LAT 1194790212
CHAD JOSEPH DAVIS MS, ATC 1417984006
MR. RICHARD RYAN COLE ATC 1124056254
DAVID MORRIS FREEMAN MS, ATC 1619909355
MR. GARY AUSTIN STROUD ATC 1881607273
JEFF A BRYANT 1275631806
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.