Individual
NANCY DIANA GROH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 MONTLIEU AVE, HIGH POINT, NC 27262-4221
(336) 841-4515
Mailing address
6612 IVY STONE DR, JAMESTOWN, NC 27282-7796
(336) 454-1424
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0128
NC
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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