Individual
LILLIAN JUNE MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCAT, ATC
Contact information
Practice address
520 HIGHWAY 1 N, CAMDEN, SC 29020-2599
(803) 243-9812
Mailing address
531 SALUDA AVE APT 2, COLUMBIA, SC 29205-2235
(740) 506-2667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03448
SC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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