Individual
MARY RUNYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
225 MUNN RD E, FORT MILL, SC 29715-9497
(803) 548-9700
Mailing address
101 BUNGALOW DR, ROCK HILL, SC 29732-8683
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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