Individual
MR. MICHAEL TRENT O'NEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, SCAT
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 227-8155
(803) 227-8221
Mailing address
418 LONG NEEDLE DR, COLUMBIA, SC 29229-9461
(803) 521-1376
(803) 227-8221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
743
SC
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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