Individual
MR. SCOTT LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 BOONE HILL RD, SUMMERVILLE, SC 29483-2401
(843) 873-6404
Mailing address
1101 BOONE HILL RD, SUMMERVILLE, SC 29483-2401
(843) 873-6404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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