Individual
VAN CARROL WHITMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, ATC, LAT, CSCS
Contact information
Practice address
1 BREVARD COLLEGE DRIVE, BREVARD, NC 28712-0000
(828) 884-8346
(828) 884-8269
Mailing address
128 JETER MOUNTAIN RD, PENROSE, NC 28766-8771
(828) 862-8221
(828) 884-8269
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0283
NC
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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