Individual
MR. BYRON MILLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, SCAT
Contact information
Practice address
840 MAIN ST, GILBERT, SC 29054-8443
(803) 821-1985
(803) 821-1938
Mailing address
302 LAKESHORE DR, LEESVILLE, SC 29070-8718
(864) 490-0207
(803) 821-1938
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
740
SC
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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