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Individual

SUZANNE ELIZABETH HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAT, ATC, CEAS

Contact information

Practice address
17230 US HIGHWAY 17 N STE 218, HAMPSTEAD, NC 28443-7466
(910) 821-1506
(910) 821-1508
Mailing address
502 PLUM NEARLY LN APT K, WILMINGTON, NC 28403-2759
(717) 926-4689

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
006752
PA
2255A2300X
Athletic Trainer
Primary
4291
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006752
LICENSED ATHLETIC TRAINER
PA
01
2000028027
CERTIFIED ATHLETIC TRAINER
PA
01
4291
LICENSED ATHLETIC TRAINER
NC
Enumeration date
02/12/2020
Last updated
02/12/2020
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