Individual
NICHOLAS DAVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
1301 E ARLINGTON BLVD, GREENVILLE, NC 27858-5868
(252) 565-8812
Mailing address
624 LEGACY CT APT 159, WINTERVILLE, NC 28590-5111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4776
NC
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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