Individual
MRS. ALECIA NICOLE GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1114 ORANGEBURG RD, SUMMERVILLE, SC 29483-8904
(843) 640-1504
Mailing address
171 DONNING DR, SUMMERVILLE, SC 29483-8063
(843) 640-1504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1649
SC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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