Individual
MACKENZIE RAE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
(910) 962-3000
Mailing address
4647 FAIRVIEW DR APT 119, WILMINGTON, NC 28412-3680
(910) 261-3495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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