Individual
MR. JOHN CHARLES ROBERTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, ATC
Contact information
Practice address
1000 VERMILLION ST, CONCORD UNIVERSITY, ATHENS, WV 24712-9027
(304) 384-6346
(304) 384-5331
Mailing address
PO BOX 1000, CONCORD UNIVERSITY, ATHENS, WV 24712-1000
(304) 384-6346
(304) 384-5331
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000376
VA
Other
Enumeration date
09/16/2011
Last updated
07/31/2014
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