Individual
DUSTIN BRADLEY HARWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
203 SHADY GROVE ESTATES, PICKENS, SC 29671
(864) 331-9155
Mailing address
203 SHADY GROVE ESTATES, PICKENS, SC 29671
(864) 331-9155
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
872
SC
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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