Individual
MATTHEW PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LAT, ATC
Contact information
Practice address
586 HENDERSON ST, MOUNT OLIVE, NC 28365-1207
(919) 658-7721
Mailing address
117 WHITLEY ST, MOUNT OLIVE, NC 28365-2626
(304) 922-0323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2264
NC
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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