Individual
DALTON BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
186 LINDA LN, MOCKSVILLE, NC 27028-9400
(309) 371-8822
Mailing address
1 UNIVERSITY PKWY, HIGH POINT, NC 27268-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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