Individual
BECKY MEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HICKORY KNOLL RD, COLUMBIA, SC 29203-9046
(803) 754-3090
Mailing address
100 HICKORY KNOLL RD, COLUMBIA, SC 29203-9046
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
210
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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