Individual
GREGORY EBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSAT, LAT, ATC, EMT
Contact information
Practice address
815 W MARKET ST, CAMPBELL ATHLETICS CENTER, GREENSBORO, NC 27401-1823
(336) 272-7102
(336) 217-7237
Mailing address
815 W MARKET ST, CAMPBELL ATHLETICS CENTER, GREENSBORO, NC 27401-1823
(336) 272-7102
(336) 217-7237
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2031
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P088768
OFFICE OF EMERGENCY MEDICAL SERVICES
NC
Enumeration date
01/06/2014
Last updated
01/06/2014
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