Individual
ARDEJAH BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCAT, LAT, ATC, EMTB
Contact information
Practice address
1115 COLLEGE DR, GAFFNEY, SC 29340-3778
(864) 492-8914
Mailing address
1115 COLLEGE DR, GAFFNEY, SC 29340-3778
(864) 492-8914
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
NC
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044
ATHLETIC TRAINER
SC
Enumeration date
12/14/2017
Last updated
12/14/2017
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