Individual
KALEAB MYCHEAL DAMIEN HUBBARD-HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
167 MOORE RD STE 203, KING, NC 27021-8770
(336) 673-6490
Mailing address
167 MOORE RD STE 203, KING, NC 27021-8770
(336) 673-6490
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A7216
NC
Other
Enumeration date
06/28/2022
Last updated
08/12/2022
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