Individual
MR. JOSHUA HOWARD FALLIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
401 DEACON BLVD, WINSTON-SALEM, NC 27105-4216
(336) 759-7200
Mailing address
270 SUMMERGLEN DR, LEWISVILLE, NC 27023-8236
(336) 946-0322
(336) 946-0322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0669
NC
Other
Enumeration date
10/08/2005
Last updated
07/08/2007
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