Individual
MR. ERIC JASON MAGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
1917 W PARK DR, NORTH WILKESBORO, NC 28659-3585
(336) 414-5181
Mailing address
1917 W PARK DR, NORTH WILKESBORO, NC 28659-3585
(336) 414-5181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0503
NC
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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