Organization
MEDICAL ATHLETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHADAWN STOKES MHSA (SENIOR EXECUTIVE FOR HEALTHCARE ADM)
(704) 557-0132
Entity
Organization
Contact information
Practice address
8535 CLIFF CAMERON DR, SUITE 116, CHARLOTTE, NC 28269-5908
(704) 557-0132
(877) 284-0039
Mailing address
3020 PROSPERITY CHURCH RD, SUITE I #174, CHARLOTTE, NC 28269-7197
(704) 557-0132
(877) 284-0039
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NC
Other
Enumeration date
06/13/2012
Last updated
08/06/2012
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