Individual
DR. GEORGE SAMUEL WHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, SCAT, ATC
Contact information
Practice address
600 LYDIA DR, PELION, SC 29123-9812
(803) 894-2276
(803) 894-2121
Mailing address
320 CORLEY MILL RD, LEXINGTON, SC 29072-8403
(803) 821-0847
(803) 894-2101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
275
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275
SC DHEC AT CERTIFICATION NUNBER
SC
Enumeration date
08/29/2005
Last updated
01/18/2021
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