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Individual

MR. TRAVIS SWAILS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001
(704) 687-1630
Mailing address
725 CANDLER LN APT 1216, CHARLOTTE, NC 28217-2489
(850) 603-4377

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4961
NC

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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