Individual
ZACH HARMON MISHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
601 S COLLEGE ROAD, WILMINGTON, NC 28403-5913
(910) 962-2497
Mailing address
601 S COLLEGE ROAD, WILMINGTON, NC 28403-5913
(910) 962-2497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2540
NC
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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