Individual
NICK LEE HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 MCNATT DR APT 16, BROOKLAND, AR 72417-9024
(870) 598-4362
Mailing address
1900 MCNATT DR APT 16, BROOKLAND, AR 72417-9024
(870) 598-4362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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