Individual
ALEXANDER T MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHSC, ATC, LAT, CSCS
Contact information
Practice address
4305 SHIPYARD BLVD, WILMINGTON, NC 28403-6160
(910) 665-0033
Mailing address
4305 SHIPYARD BLVD, WILMINGTON, NC 28403-6160
(910) 665-0033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1941
NC
Other
Enumeration date
07/23/2014
Last updated
10/08/2015
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