Individual
ZACHARY EDWARD MACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1600 BREWER RD, WINSTON SALEM, NC 27127-3857
(336) 408-6944
Mailing address
4404 LAKE SHORE RESERVE CT, KERNERSVILLE, NC 27284-0141
(336) 662-3910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2626
NC
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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