Individual
CHARLES NOSTRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
9253 ALEX HARVIN HWY, SUMMERTON, SC 29148-8175
(734) 645-5387
Mailing address
1215 ALICE DR, SUMTER, SC 29150-1905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2374
SC
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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