Individual
HENRY WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, MED
Contact information
Practice address
1708 NASH ST, SANFORD, NC 27330-5843
(919) 776-7541
Mailing address
1910 PLANTATION DR, SANFORD, NC 27330-8186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0293
NC
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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