Individual
ADAM PLOEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2439 WILLWOOD DR, FLORENCE, SC 29501-3904
(843) 777-8167
Mailing address
2439 WILLWOOD DR, FLORENCE, SC 29501-3904
(843) 777-8167
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1056
SC
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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