Individual
MR. MICHAEL CARGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1196 KENMORE RD, AMHERST, VA 24521-4777
(434) 946-0757
Mailing address
1196 KENMORE RD, AMHERST, VA 24521-4777
(434) 946-0757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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