Individual
MITCHELL MAZUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
EAST FIFTH STREET, GREENVILLE, NC 27858
(336) 473-5869
Mailing address
113B ROTARY AVE, GREENVILLE, NC 27858-2022
(336) 473-5869
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
05/24/2016
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