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Individual

MISS BEVERLY ANN WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2597 HWY 66, WHITMIRE, SC 29178
(803) 694-3400
Mailing address
3824 SANDHILL RD, MULLINS, SC 29574-7178
(843) 430-0807

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC

Other

Enumeration date
07/09/2017
Last updated
07/09/2017
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