Individual
CHARLES-PHILLIP AUSTIN NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 COLLEGE ST, BARBOURVILLE, KY 40906-1410
(800) 489-8646
Mailing address
1101 EXETER AVE, MIDDLESBORO, KY 40965-2323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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