Individual
MISS ELIZABETH GRACE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 KILBURN CIR, KERNERSVILLE, NC 27284-7887
(336) 529-9400
Mailing address
5900 KILBURN CIR, KERNERSVILLE, NC 27284-7887
(336) 529-9400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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