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Individual

DR. LAYLA MCCALL STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC, LAT

Contact information

Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001
(704) 687-7432
Mailing address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT11537
NC
2255A2300X
Athletic Trainer
Primary
827
GA
2255A2300X
Athletic Trainer
ATC1262
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2255A2300X
ATHLETIC TRAINER
GA
Enumeration date
06/29/2006
Last updated
03/27/2015
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