Individual
MS. CECELIA A TOLLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
602 HIGH POINT RD., JAMESTOWN, NC 27282
(336) 819-2960
Mailing address
1012 PINEBURR RD, JAMESTOWN, NC 27282-9026
(336) 471-4518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1031
NC
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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