Individual
TAYLOR PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5651 POPLAR TENT RD STE 102, CONCORD, NC 28027-7530
(704) 863-4878
Mailing address
5433 SHOAL BROOK CT, CHARLOTTE, NC 28277-9689
(704) 930-9616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4432
NC
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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