Individual
LAUREN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1815 E NORTH ST, GREENVILLE, SC 29607-1100
(703) 862-6404
Mailing address
1815 E NORTH ST, GREENVILLE, SC 29607-1100
(703) 862-6404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
923
SC
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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