Individual
STEPHANIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5800 SARDIS RD, CHARLOTTE, NC 28270-5366
(704) 887-7060
Mailing address
126 NEW BERN ST APT 123, CHARLOTTE, NC 28203-6398
(704) 840-9797
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3612
NC
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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