Individual
MISS NICHOLE EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1550 FLOWERFIELD DR, CONCORD, NC 28025-7822
(313) 363-4971
Mailing address
1550 FLOWERFIELD DR, CONCORD, NC 28025-7822
(313) 363-4971
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004443
OH
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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