Individual
GREG WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, SCAT
Contact information
Practice address
1 CATAWBA CIR APT 923, COLUMBIA, SC 29201-5266
(208) 309-2991
Mailing address
1 CATAWBA CIR APT 923, COLUMBIA, SC 29201-5266
(208) 309-2991
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2015
Last updated
07/02/2016
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