Individual
CHARLES C EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
1035 INDIGO AVE, CAYCE, SC 29033-3209
(803) 237-1972
Mailing address
1035 INDIGO AVE, CAYCE, SC 29033-3209
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
906
SC
Other
Enumeration date
07/13/2013
Last updated
07/13/2013
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