Individual
KAREN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC
Contact information
Practice address
758 ALBION RD, COLUMBIA, SC 29205-1914
(803) 920-6477
Mailing address
758 ALBION RD, COLUMBIA, SC 29205-1914
(803) 920-6477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
357
SC
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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