Individual
MR. MICHAEL DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3614 CEDAR CREEK RUN, LITTLE RIVER, SC 29566-8434
(843) 467-1881
Mailing address
P.O. BOX 701, LITTLE RIVER, SC 29566
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
09/12/2014
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