Individual
MR. JAMISON CARROLL HOLLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1350 PANTHER TRL SE, LENOIR, NC 28645-4736
(828) 758-7376
(828) 758-9708
Mailing address
120 3RD ST SE, HILDEBRAN, NC 28637-8013
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000030544
CERTIFIED ATHLETIC TRAINER
—
01
—
LAT-3687
LICENSED ATHLETIC TRAINER
NC
Enumeration date
02/15/2018
Last updated
02/15/2018
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