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Individual

MR. SPENCER DOUGLAS ELLIOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LAT, ATC

Contact information

Practice address
NOVANT HEALTH PERRY & COOK ORTHOPEDICS & SPORTS MEDICIN, 2826 RANDOLPH ROAD, CHARLOTTE, NC 28211-1386
(704) 358-0308
(704) 358-0039
Mailing address
6176 NEPTUNE ROAD, DENVER, NC 28037-8182
(704) 564-6847

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1144
NC
2255A2300X
Athletic Trainer
1195
SC

Other

Enumeration date
12/01/2006
Last updated
09/08/2017
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