Individual
MR. ANDREW SUFFICOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
135 JACK BRANCH DR, BOONE, NC 28608-0001
(828) 262-6265
Mailing address
314 MEADOWVIEW DR, APT 609, BOONE, NC 28607-5212
(828) 262-6265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1307
NC
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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