Individual
HOLLY DOUGHARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
739 LEVEE DR, MONCKS CORNER, SC 29461-4133
(843) 480-8845
Mailing address
739 LEVEE DR, MONCKS CORNER, SC 29461-4133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/29/2014
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