Individual
IVA DARKINA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
WILLIAM B AYCOCK BUILDING, 590 MANNING DRIVE , CAMPUS BOX 7595, CHAPEL HILL, NC 27599-0001
(984) 984-2257
(919) 966-6126
Mailing address
2011 GLENGATE CIR, MORRISVILLE, NC 27560-6967
(843) 385-6415
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-1653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000000710
ATHLETIC TRANIER CARTIFIED
NC
01
—
LAT-1653
LICENCED ATHLETIC TRAINER
NC
Enumeration date
01/21/2016
Last updated
01/21/2016
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