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Individual

MR. STEPHEN LEWIS GARNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
740 WALNUT FOREST DRIVE, APT. M, WINSTON SALEM, NC 27103-5654
(704) 779-1528
Mailing address
740 WALNUT FOREST DRIVE, APT. M, WINSTON SALEM, NC 27103-5654
(704) 779-1528

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1120
NC

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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