Individual
THOMAS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 227-8000
Mailing address
350 POWELL RD, COLUMBIA, SC 29203-9364
(704) 223-1626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1878
SC
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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