Individual
CHRISTINE KEILLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4900 SOCASTEE BLVD, MYRTLE BEACH, SC 29588-7221
(843) 293-2513
Mailing address
PO BOX 541, PAWLEYS ISLAND, SC 29585-0541
(847) 363-2267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1021
SC
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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