MICHAEL ANTHONY WALTERS

WINSTON SALEM, NC
NPI1699388868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  LAT-4187)
Enumeration Date2020-08-28
Last Update Date2020-08-28
Business Address
Mr. MICHAEL ANTHONY WALTERS ATC, LAT
170 KIMEL PARK DR
WINSTON SALEM, NC 27103-6946
Phone number: 336-765-7058
Mailing Address
Mr. MICHAEL ANTHONY WALTERS ATC, LAT
1055 FALLBROOK LN
LEWISVILLE, NC 27023-8628
Phone number: 336-624-4368
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