Individual
MR. JASON B FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1440 CARMEL RD, CHARLOTTE, NC 28226-5012
(704) 943-4862
Mailing address
12021 REGENT RIDGE LN, CHARLOTTE, NC 28278-0016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2259
NC
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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