Individual
CHRISTOPHER NWANEGWO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, SCAT
Contact information
Practice address
102 LYNN CT, CONWAY, SC 29526-8827
(843) 333-4628
Mailing address
102 LYNN CT, CONWAY, SC 29526-8827
(843) 333-4628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1923
SC
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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