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Individual

MICHELLE M MCLEOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HL, FETZER GYMNASIUM, CHAPEL HILL, NC 27599-8700
(919) 962-2067
Mailing address
180 BPW CLUB RD, APT F10, CARRBORO, NC 27510-2589
(319) 230-8115

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1141
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1141
NC STATE LICENSURE
NC
Enumeration date
08/05/2006
Last updated
07/08/2007
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