Individual
CHARLES MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 NEWMAN LN, MOUNDSVILLE, WV 26041-1775
(304) 559-7725
Mailing address
89 NEWMAN LN, MOUNDSVILLE, WV 26041-1775
(304) 559-7725
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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