NPI 1215054077
Eric Haver, ATCLATMHSA
Practice location
- Address
- 1325 E Fortification St, Jackson, MS 39202-2442
- Phone
- (601) 354-4488
- Mailing address
- 1003 Post Rd, Clinton, MS 39056-3813
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1215054077
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Mar 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.