Individual
MISS JULIA DAWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
6324 FAIRVIEW RD STE 201, CHARLOTTE, NC 28210-4278
(704) 384-0588
Mailing address
2710 WYNTERCREST LN, DURHAM, NC 27713-4517
(573) 317-6132
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000
NC
Other
Enumeration date
05/20/2017
Last updated
09/07/2024
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