Individual
MR. ROBERT S. CHARLES-LISCOMBE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
815 W MARKET ST, DIVISION OF KINESIOLOGY, GREENSBORO, NC 27401-1823
(336) 272-7102
(336) 217-7237
Mailing address
6702 POPLAR GROVE TRL, GREENSBORO, NC 27410-8629
(336) 664-6248
(336) 217-7237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0076
NC
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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