Individual
ASHLEIGH NICOLE SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(843) 863-7000
Mailing address
2662 HIGH BRASS TRL, MYRTLE BEACH, SC 29588-8413
(843) 516-9395
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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