Individual
KATY ANGELINA MEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
C-8247 ARDENNES STREET, FORT BRAGG, NC 28310-0001
(870) 833-2352
Mailing address
711 PIPER FARM RD APT 2, FAYETTEVILLE, NC 28303-6603
(870) 833-2352
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2430
AL
Other
Enumeration date
09/27/2020
Last updated
07/29/2022
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