Organization
TEGAN HINAMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEGAN MARIE HINAMAN MS ATC SCAT (ATHLETIC TRAINER)
(570) 447-3010
Entity
Organization
Contact information
Practice address
302 KISKADEE LOOP, UNIT A, CONWAY, SC 29526-9771
(570) 447-3010
Mailing address
302 KISKADEE LOOP, UNIT A, CONWAY, SC 29526-9771
(570) 447-3010
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1530
SC
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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