Individual
KATELYN STEGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2476 HUNTERS TRL, MYRTLE BEACH, SC 29588-8411
(843) 655-9710
Mailing address
2476 HUNTERS TRL, MYRTLE BEACH, SC 29588-8411
(843) 655-9710
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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