Individual
JAMES RYAN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
212 VISTA CIR, CLEMSON, SC 29631
(215) 200-5160
Mailing address
212 VISTA CIR, CLEMSON, SC 29631
(215) 200-5160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1507
SC
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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