Individual
DEDRIC LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SCAT, ATC
Contact information
Practice address
2251 OLD FURNACE RD, BOILING SPRINGS, SC 29316-5761
(864) 578-8465
Mailing address
175 PATEWOOD DR, GREENVILLE, SC 29615-3570
(864) 350-5037
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
02/21/2024
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