Individual
ADAM DOUGLAS HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, SCAT
Contact information
Practice address
12890 COUNTY LINE RD, ANDREWS HIGH SCHOOL, ANDREWS, SC 29510-6877
(843) 264-3414
Mailing address
12890 COUNTY LINE RD, ANDREWS HIGH SCHOOL, ANDREWS, SC 29510-6877
(843) 264-3414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
869
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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