Individual
LISA ANNE WOOD-SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 333-8385
Mailing address
1829 ROTUNDA CT, MYRTLE BEACH, SC 29588-7986
(843) 902-0686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC030275
SC
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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