Individual
LAUREL SMOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 SUNNEHANNA DR UNIT 230, MYRTLE BEACH, SC 29588-5397
(864) 993-4549
Mailing address
455 SUNNEHANNA DR UNIT 230, MYRTLE BEACH, SC 29588-5397
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1409
SC
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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