Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN BOADWINE, ATC
Active Sole ProprietorBRIAN BOADWINE, ATC is a Athletic Trainer healthcare provider located in KNIGHTDALE, North Carolina. NPI 1205253622 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KNIGHTDALE, NC
Registration Details
- NPI Number
- 1205253622
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2014 (12.35697445981 yrs)
- Last Updated
- Mar 24, 2014
- License
-
1684 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 BRYAN CHALK LNKNIGHTDALE HIGH SCHOOLKNIGHTDALE, NC, 275456712Browse NC providers · Browse ZIP 27545
- Phone
- 9192175350
- Fax
- 9192175356
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in KNIGHTDALE, NC
| Name | Credential | NPI |
|---|---|---|
| LAURIE KING | ATC, LAT | 1043640790 |
| LESLIE WINSTEAD | — | 1649685330 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.