Individual
BEVERLY JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, MA, ATC
Contact information
Practice address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 521-6273
Mailing address
110 W OLIVER ST, WHITEVILLE, NC 28472-2620
(910) 521-6273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1860
NC
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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