Individual
DANIEL THOMAS CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3938 HARDIN ELLISON RD, FRANKLINVILLE, NC 27248-8112
(336) 953-2474
Mailing address
3938 HARDIN ELLISON RD, FRANKLINVILLE, NC 27248-8112
(336) 953-2474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
CLB5033
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CLB5033
NC
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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