Individual
DESTINY M CHISHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 BRADEN DR, CHARLOTTE, NC 28216
(980) 636-2961
Mailing address
3329 BRADEN DR, CHARLOTTE, NC 28216
(980) 636-2961
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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