Individual
MICHAEL GRAEME NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(501) 450-5000
Mailing address
3034 DONNELL RIDGE RD APT 104, CONWAY, AR 72034-8684
(816) 820-3427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
827
AR
Other
Enumeration date
07/28/2018
Last updated
07/28/2018
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