Individual
ALEXANDRA VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6630 FRONTAGE RD, GREENVILLE, SC 29605-3309
(808) 226-6165
Mailing address
6630 FRONTAGE RD, GREENVILLE, SC 29605-3309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2217
SC
Other
Enumeration date
08/07/2017
Last updated
01/23/2023
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