Individual
HANNA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5390
(910) 422-3555
Mailing address
501 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-1930
NC
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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