Individual
MR. BARRY LIPPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1411 PETERSON ST, MYRTLE BEACH, SC 29577-1405
(843) 421-1772
Mailing address
PO BOX 261954, CONWAY, SC 29528-6054
(843) 421-1772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC029801
SC
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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