Individual
MRS. BENETTA M ALBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PATEWOOD DR, SUITE B260, GREENVILLE, SC 29615-3593
(864) 454-8260
(864) 454-8265
Mailing address
30 FOX DEN LANE, SIMPSONVILLE, SC 29681
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000817
GA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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