Individual
MR. CURTIS JOHN FALLON JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
555 HALEYBURTON MEMORIAL PKWY, WILMINGTON, NC 28412-3094
(910) 790-2360
Mailing address
4828 CORONADO DR, WILMINGTON, NC 28409-8910
(910) 792-0548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0526
NC
Other
Enumeration date
03/31/2006
Last updated
07/08/2007
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