Individual
JAMELLE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4035 HOULDSWORTH DR, CHARLOTTE, NC 28213-5786
(336) 312-1304
Mailing address
4035 HOULDSWORTH DR, CHARLOTTE, NC 28213-5786
(336) 312-1304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027167
NC
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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