Individual
JULAYNE SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3000 S BELTLINE BLVD, COLUMBIA, SC 29201-5130
(803) 231-7702
(803) 231-7702
Mailing address
236 CAROLINA RIDGE DR, COLUMBIA, SC 29229-7398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089702430
ATHLETIC TRAINER
—
Enumeration date
05/15/2017
Last updated
06/16/2018
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