Individual
GARY NICHOLAS RIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, BS.
Contact information
Practice address
110 S PARK TER, EDEN, NC 27288-5351
(336) 627-7778
(336) 623-1919
Mailing address
110 S PARK TER, EDEN, NC 27288-5351
(336) 627-7778
(336) 623-1919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0359
NC
2255A2300X
Athletic Trainer
811355
NC
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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