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Individual

ETHAN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
815 W MARKET ST, GREENSBORO, NC 27401-1875
(336) 254-7014
Mailing address
815 W MARKET ST, GREENSBORO, NC 27401-1875
(336) 254-7014

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2528
NC

Other

Enumeration date
12/18/2014
Last updated
12/09/2021
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