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Individual

EMILY M DOCHTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, ACSM-EP

Contact information

Practice address
3300 POINSETT HWY, GREENVILLE, SC 29613-3005
(660) 341-9535
(864) 294-3338
Mailing address
28720 STATE HIGHWAY 16, CANTON, MO 63435-3005
(660) 341-9535

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
AT03312
SC
2255A2300X
Athletic Trainer
Primary
2000050927
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/11/2020
Last updated
11/17/2022
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