Individual
SHIRLEY NICOLE CLINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 436-1826
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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