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Individual

JOEL KIRBY MOFFAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAT ATC

Contact information

Practice address
100 ATHLETIC ST, MARS HILL, NC 28754-9134
(828) 689-1124
(828) 689-1313
Mailing address
PO BOX 6668, 100 ATHLETIC STREET, MARS HILL, NC 28754-5119
(828) 689-1124
(828) 689-1313

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
558
NC

Other

Enumeration date
09/02/2011
Last updated
09/02/2011
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