SearchNorth CarolinaAthletic Trainer

Benicia Cleveland, MED, LAT, ATC

NPI 1629212501 · on the registry since 2009 · sole proprietor

Practice

Address
1250 S Martin Luther King Jr. Drive
Winston-Salem State University
Winston-Salem, NC 27107
Phone
(336) 750-2597
Fax
(336) 750-8880

Registry record

Primary taxonomy
Athletic Trainer
2255A2300X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-09-13

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