Individual
JOHNATHON WYATT FRIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
13440 LUCIA RIVERBEND HWY, MOUNT HOLLY, NC 28120-9766
(704) 827-8840
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5240
NC
Other
Enumeration date
07/02/2020
Last updated
04/03/2024
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