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Individual

CAMERON JAMES HUMMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, LAT, ATC

Contact information

Practice address
162 LEGACY OAKS DR # 2102, KNIGHTDALE, NC 27545-6556
(919) 373-1799
Mailing address
162 LEGACY OAKS DR # 2102, KNIGHTDALE, NC 27545-6556
(919) 373-1799

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P21541
NC
2255A2300X
Athletic Trainer
LAT-4386
NC

Other

Enumeration date
08/29/2022
Last updated
08/29/2022
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