Individual
EMMA JAYNE MURRAY SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 876-0111
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
40996
SC
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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