Individual
MR. MICHAEL ANTHONY HERVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1440 CARMEL RD, CHARLOTTE, NC 28226-5096
(704) 943-4700
Mailing address
1440 CARMEL RD, CHARLOTTE, NC 28226-5096
(704) 943-4700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3733
NC
Other
Enumeration date
10/01/2020
Last updated
10/15/2020
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