Individual
JONATHAN MERCER FOELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204
(704) 316-5285
(704) 417-4621
Mailing address
3325 ANSON ST, CHARLOTTE, NC 28209-1901
(865) 300-1138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2119
SC
2255A2300X
Athletic Trainer
Primary
LAT-3111
NC
Other
Enumeration date
06/09/2017
Last updated
06/21/2018
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