Individual
ALICIA GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
709 DANTZLER ST, ORANGEBURG, SC 29115-4318
(803) 928-4240
Mailing address
709 DANTZLER ST, ORANGEBURG, SC 29115-4318
(803) 928-4240
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03077
SC
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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