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Organization

PROFESSIONAL SPORTS MEDICINE & ATHLETIC TRAINING CONSULTANT SERVICES,

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M. MILLS (DIRECTOR OF SPORTS MEDICINE)
(919) 291-5917
Entity
Organization

Contact information

Practice address
5321 BENTGRASS DR, RALEIGH, NC 27610-2136
(919) 291-5917
Mailing address
5321 BENTGRASS DRIVE, RALEIGH, NC 27610
(919) 291-5917

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
01/17/2014
Last updated
01/17/2014
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