Individual
ADAM MARK VIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
160 JAMERSON CTR, BLACKSBURG, VA 24061, BLACKSBURG, VA 24061-0001
(540) 231-6410
Mailing address
243 FLANAGAN AVE, DUBLIN, VA 24084-3062
(910) 916-9174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
01/22/2018
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