Individual
MISS LYDIA GRACE BINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7801 N TIGERVILLE RD, TIGERVILLE, SC 29688-9700
(864) 907-7590
Mailing address
PO BOX 216, TIGERVILLE, SC 29688-0216
(864) 907-7590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC507686
SC
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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