Individual
HYUNMO AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
2140 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-5709
(252) 565-4950
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18160
NC
2255A2300X
Athletic Trainer
AL3472
FL
Other
Enumeration date
09/09/2013
Last updated
10/28/2019
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