Individual
INDIYAH HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
(843) 822-2441
Mailing address
1300 WHEAT ST, COLUMBIA, SC 29201-4347
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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