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Individual

BENETTA N GAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 227-8000
Mailing address
42 FRASIER FIR LN, ELGIN, SC 29045-8532
(803) 608-8820

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
566
SC

Other

Enumeration date
11/23/2009
Last updated
10/03/2014
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