Individual
MR. DAMON ERIC EDMOND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 PERIMETER RD, CLEMSON, SC 29634-0001
(864) 656-1952
Mailing address
7130 BUFFALO AVE, JACKSONVILLE, FL 32208-4820
(904) 466-3255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2535
SC
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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