Individual
MR. THOMAS R LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1901 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3921
(336) 714-2619
Mailing address
520 PARK RIDGE CT APT E, WINSTON SALEM, NC 27104-5608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0623
NC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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