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Individual

MISS VIRGINIA ELIZABETH WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, ATC-L

Contact information

Practice address
115 S SAINT MARYS ST, RALEIGH, NC 27603-1699
(180) 036-2090
(186) 643-4509
Mailing address
115 S SAINT MARYS ST, RALEIGH, NC 27603-1699
(180) 036-2090
(186) 643-4509

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1430
NC

Other

Enumeration date
07/05/2010
Last updated
07/05/2010
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