Individual
CARLA PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1901 MOONEY ST, WINSTON SALEM, NC 27103-3032
(336) 716-4131
Mailing address
200 BIG OAK TRL, BROWNS SUMMIT, NC 27214-9563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3721
NC
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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