Individual
TAYLOR LUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
135 COMMONWEALTH DR, SUITE 250, GREENVILLE, SC 29615-4831
(864) 417-6971
Mailing address
535 BROOKWOOD POINT PL, #135, SIMPSONVILLE, SC 29681-6910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2013
Last updated
07/01/2013
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