Individual
CHRISTOPHER OUTLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 E SOUTH ST, RALEIGH, NC 27601-2341
(919) 749-5112
Mailing address
630 WESTWOOD DR, GARNER, NC 27529-4580
(919) 749-5112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2564
NC
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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