Individual
MR. PHILIPA PAOLETTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1700 SKYLYN DR, SPARTANBURG, SC 29307-1041
(864) 597-9523
Mailing address
238 SEQUOYAH DR, CHESNEE, SC 29323-8107
(864) 599-5336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
780
SC
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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