Individual
BRIAN GOODALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6770 MCCRIMMON PKWY, CARY, NC 27519-1838
(919) 609-6953
Mailing address
6770 MCCRIMMON PKWY, CARY, NC 27519-1838
(919) 609-6953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2738
NC
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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