Individual
NOAH MACNIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N CAMDEN RD, WINGATE, NC 28174-9644
(704) 233-8000
Mailing address
213 W ELM ST, WINGATE, NC 28174-9506
(908) 892-2986
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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