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Individual

ELIZA BROOKS PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
3136 CHARLYNE DR, HENDERSONVILLE, NC 28792-1123
(315) 532-3668
Mailing address
3136 CHARLYNE DR, HENDERSONVILLE, NC 28792-1123

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000019042
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000019042
ATHLETIC TRAINER
NC
Enumeration date
08/29/2017
Last updated
08/29/2017
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