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Individual

DR. RENAE ELLEN BOMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDD, ATC, SCAT

Contact information

Practice address
9200 UNIVERSITY BLVD, NORTH CHARLESTON, SC 29406-9121
(812) 878-0923
Mailing address
365 BERTRAM RD, SUMMERVILLE, SC 29485-8393
(812) 878-0923

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001019A
IN

Other

Enumeration date
04/26/2006
Last updated
04/24/2023
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