Individual
MRS. REBECCA WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED ATC
Contact information
Practice address
27 SMITH BLVD, MYRTLE BEACH, SC 29588-6096
(843) 340-4021
Mailing address
27 SMITH BLVD, MYRTLE BEACH, SC 29588-6096
(843) 340-4021
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
899
SC
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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