Individual
MR. JOHN COREY LOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 CENTER PARK DR STE J, CHARLOTTE, NC 28217-2962
(704) 667-2570
Mailing address
3137 MAYWOOD DR, CHARLOTTE, NC 28205-2121
(334) 398-2573
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4403
NC
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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