Individual
MARIA SYDNEY SUPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
715 CATAWBA CIR, COLUMBIA, SC 29201-5257
(941) 685-9934
Mailing address
715 CATAWBA CIR, COLUMBIA, SC 29201-5257
(941) 685-9934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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