Charles Wayne Dick Jr.
Massage Therapist in Greensboro, NC. Individual provider (NPI-1).
NPI number1982249488
StatusActive
Last updated in NPPESNov 8, 2019
Details
- NPI
- 1982249488
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles Wayne Dick Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2019
- Last updated
- Nov 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1400 Battleground Ave Ste 120dGreensboro, NC 27408-8038
Phone 336-430-6825
Mailing address
1400 Battleground Ave Ste 120dGreensboro, NC 27408-8038
Phone 336-430-6825
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