Individual
MR. ALLEN JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAT, ATC
Contact information
Practice address
5400 RAMSEY ST, FAYETTEVILLE, NC 28311-1420
(910) 630-7596
(910) 630-7599
Mailing address
5400 RAMSEY ST, FAYETTEVILLE, NC 28311-1420
(910) 630-7596
(910) 630-7599
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
24-00907
KS
2255A2300X
Athletic Trainer
AT 535
AR
2255A2300X
Athletic Trainer
Primary
LAT-3599
NC
Other
Enumeration date
05/11/2017
Last updated
10/06/2022
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