Individual
MICHAEL JOSEPH SOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 CHUCK DAWLEY BLVD BLDG B, MT PLEASANT, SC 29464-4183
(843) 985-0802
Mailing address
1122 CHUCK DAWLEY BLVD BLDG B, MT PLEASANT, SC 29464-4183
(201) 602-9177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT03175
SOUTH CAROLINA EMS
SC
Enumeration date
03/08/2022
Last updated
03/08/2022
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