Organization
WINGATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY GRODECKI A.T. (GRADUATE ASSISTANT ATHLETIC TRAINER)
(847) 650-0295
Entity
Organization
Contact information
Practice address
220 N CAMDEN RD, WINGATE, NC 28174-9644
(704) 233-8165
Mailing address
220 N CAMDEN RD, P.O. BOX 5002, WINGATE, NC 28174-9644
(704) 233-8165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000007706
NC
Other
Enumeration date
01/12/2014
Last updated
01/12/2014
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