Individual
CHARLES E PINTA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
119 OFFICE PARK DR, ORANGEBURG, SC 29118-2407
(803) 536-5509
Mailing address
3957 TURKEY HILL CT, ORANGEBURG, SC 29118-8340
(803) 837-0109
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
141
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141
STATE ATHLETIC TRAINER LI
SC
Enumeration date
04/21/2006
Last updated
07/08/2007
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