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Individual

MS. JANICE LEE BECKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
11728 S 226 HWY, SPRUCE PINE, NC 28777-8954
(828) 765-8200
Mailing address
72 PARKWOOD HILLS HTS, SPRUCE PINE, NC 28777-8811

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1441
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1441
NORTH CAROLINA ATHLETIC TRAINING LICENCE
NC
01
998170
NATA MEMBERSHIP
NC
Enumeration date
05/28/2014
Last updated
05/28/2014
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