Individual
ELIJAH MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 SPRING GARDEN ST, GREENSBORO, NC 27412-5015
(336) 334-5000
Mailing address
200 COLTSGATE DR, KERNERSVILLE, NC 27284-6360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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