Individual
ROBERT INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, ATC
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 227-8159
Mailing address
157 SPRING FROST DR, LEXINGTON, SC 29072-6952
(803) 239-6412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
712
SC
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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