Individual
FREDRICK ANTHONY GARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, USAW
Contact information
Practice address
500 HARBISON BLVD, APT 2310, COLUMBIA, SC 29212-1735
(803) 673-6155
Mailing address
500 HARBISON BLVD, APT 2310, COLUMBIA, SC 29212-1735
(803) 673-6155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
788
SC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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