Individual
MR. MICHAEL MUSSELWHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAT, ATC
Contact information
Practice address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 775-4100
Mailing address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2470
NC
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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