Individual
MADISON SUZANNE FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0204
(336) 716-2011
Mailing address
983 GRANDVIEW DR, SPARTA, NC 28675-8806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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