Individual
MISS KARSEN ELIZABETH MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
5500 AMANDA LN, BELMONT, NC 28012-8641
(704) 451-9926
Mailing address
5500 AMANDA LN, BELMONT, NC 28012-8641
(704) 451-9926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025603
NC
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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