Individual
DYLAN THOMAS CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201
(803) 777-7777
Mailing address
1030 RODA DR, FLORENCE, SC 29501-8483
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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