Individual
DONALD ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1325 TIMBER DR E, GARNER, NC 27529-6924
(919) 863-6991
Mailing address
1325 TIMBER DR E, GARNER, NC 27529-6924
(919) 863-6991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2555
NC
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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