Individual
MARY E. SULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, ROT
Contact information
Practice address
860 LAKECREST AVE APT 2B, HIGH POINT, NC 27265-2683
(336) 906-0324
Mailing address
860 LAKECREST AVE APT 2B, HIGH POINT, NC 27265-2683
(336) 906-0324
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802029
BOARD OF CERTIFICATION, INC
—
01
—
091817050
AMERICAN SOCIETY OF ORTHOPEDIC PROFESSIONALS
—
01
—
1628
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
NC
Enumeration date
09/16/2008
Last updated
04/20/2018
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