Ethan Clopton
Ethan Clopton is an Athletic Trainer in Hattiesburg, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
105 Doleac Dr Apt 726DHattiesburg, MS 39401-3124
Phone: (601) 678-2986
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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 | 1972268993 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 4, 2021 |
| Last updated in NPPES | November 4, 2021 |
| Certification date | November 4, 2021 |
| Mailing address | 105 Doleac Dr Apt 726d, Hattiesburg, MS 39401-3124 |
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