Individual
MADISON MARIE HAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLATT PE CENTER 1300 WHEAT ST ROOM 128, COLUMBIA, SC 29208-0001
(772) 323-1876
Mailing address
BLATT PE CENTER 1300 WHEAT ST ROOM 128, COLUMBIA, SC 29208-0001
(772) 323-1876
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC520052
SC
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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