Individual
DEREK DEWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
419 THORNWOOD RD, CHAPEL HILL, NC 27517-2334
(812) 223-1599
Mailing address
3719 OAK HILL RD, EVANSVILLE, IN 47711-2939
(812) 223-1599
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2488
NC
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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