Individual
SHARON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4116 CONNER DR, FLORENCE, SC 29501-8697
(803) 972-7733
Mailing address
4116 CONNER DR, FLORENCE, SC 29501-8697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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