Individual
CHRISTINA JOY GASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 ST. JOSEPH'S DRIVE, GREENVILLE, SC 29607
(864) 380-7906
Mailing address
241 BROOKDALE AVE, GREENVILLE, SC 29607-2866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
776
SC
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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