Individual
MR. JERYL ERIC DILLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.T., A.T.C.
Contact information
Practice address
1600 UNION CROSS RD, KERNERSVILLE, NC 27284-7537
(336) 771-4510
Mailing address
1309 MICOL LN, KERNERSVILLE, NC 27284-3407
(336) 996-7223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0093
NC
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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