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Individual

FRED RANDALL WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
300 COLUMBIA AVE, CHAPIN, SC 29036-9422
(803) 575-5416
(803) 575-5421
Mailing address
244 CROOKED CREEK RD, CHAPIN, SC 29036-9427
(803) 345-9981

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
055
SC

Other

Enumeration date
06/27/2006
Last updated
12/02/2011
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