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Individual

ABBY WHITESIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, CSCS

Contact information

Practice address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
(919) 515-2111
Mailing address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
(919) 515-2111

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1450
NC

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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