Individual
KAREN DIANE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
580 E MAIN ST, SPARTANBURG, SC 29302-1931
(864) 577-2048
(864) 577-2054
Mailing address
151 RIBAULT ST, SPARTANBURG, SC 29302-2630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1651
SC
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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