SearchNorth CarolinaAthletic Trainer

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NPI 1336864354 · on the registry since 2022

Practice

Address
558 Wade Stewart Road
Buies Creek, NC 27506
Phone
(641) 224-2226

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina