PHILLIP STACK

CHARLOTTE, NC
NPI1689237471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  2000021342)
Enumeration Date2019-04-17
Last Update Date2021-12-16
Business Address
PHILLIP STACK ATC
900 CENTER PARK DR
CHARLOTTE, NC 28217-2961
Phone number: 336-817-9315
Mailing Address
PHILLIP STACK ATC
1713 SEIFERT CIR
CHARLOTTE, NC 28205-7255
Phone number: 336-817-9315
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