Individual
COULTER WILEY CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3971 LITTLE SAVANNAH ROAD, CULLOWHEE, NC 28723
(828) 227-7271
Mailing address
PO BOX 1507, MURPHY, NC 28906-1507
(828) 644-8204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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