Individual
MRS. JULIE ANN BAMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1906 GAMMON ST, CHARLESTON, SC 29414-8129
(561) 389-2610
(561) 389-2610
Mailing address
1906 GAMMON ST, CHARLESTON, SC 29414-8129
(561) 389-2610
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1834
HIGH SCHOOL SPORTS COVERAGE
SC
Enumeration date
06/08/2017
Last updated
06/16/2018
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