Individual
CALEB FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
653 GATE POST DR, MOUNT PLEASANT, SC 29464-4944
(843) 628-9217
Mailing address
653 GATE POST DR, MOUNT PLEASANT, SC 29464-4944
(843) 628-9217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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