Individual
ANDREW DITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LAT, ATC
Contact information
Practice address
600 LYDIA DR, PELION, SC 29123-9812
(803) 821-2200
Mailing address
412 CEDAR FIELD LN, WEST COLUMBIA, SC 29170-1233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2017
Last updated
02/05/2025
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