Individual
CANDACE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC-L
Contact information
Practice address
8918 BLAKENEY PROFESSIONAL DR, SUITE 120, CHARLOTTE, NC 28277-6691
(704) 900-8960
Mailing address
8918 BLAKENEY PROFESSIONAL DR, SUITE 120, CHARLOTTE, NC 28277-6691
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2012
NC
Other
Enumeration date
05/21/2015
Last updated
11/16/2020
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