Individual
MS. MIKAELA PAIGE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2508
NC
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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