Individual
CARLTON ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
469 SALEM RD, BENNETTSVILLE, SC 29512-4337
(704) 307-8688
Mailing address
469 SALEM RD, BENNETTSVILLE, SC 29512-4337
(704) 307-8688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1769
SC
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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