Individual
ASHLEY MARISA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
264 E PINE AVE, MC BEE, SC 29101-8852
(843) 335-8251
Mailing address
109 LAKEVIEW BLVD, HARTSVILLE, SC 29550-3005
(740) 412-9773
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000027208
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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