Individual
ANNA BISHOP BANKHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
542 N WILLIAMSON AVE, ELON, NC 27244-9157
(336) 639-1781
Mailing address
4300 CORNELL AVE, GREENSBORO, NC 27407-1702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3100
NC
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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