Individual
MOLLY RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29208-0001
(803) 777-5261
Mailing address
112 SILO CT, COLUMBIA, SC 29201-4972
(631) 655-8202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03234
SC
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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