Altaevist Basley
Altaevist Basley is an Athletic Trainer in Jeffersonville, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3235 Balls Church RdJeffersonville, GA 31044-2105
Phone: (478) 233-5118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1295466621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2022 |
| Last updated in NPPES | June 17, 2022 |
| Certification date | June 17, 2022 |
| Mailing address | 3235 Balls Church Rd, Jeffersonville, GA 31044-2105 |