Individual
STACIE FLIPPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 COLUMBIA CIR, SUMTER, SC 29154-6124
(803) 968-3647
Mailing address
2006 COLUMBIA CIR, SUMTER, SC 29154-6124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1916
SC
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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