Individual
ANNA CAMILLE MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SCAT, ATC
Contact information
Practice address
300 ALBEMARLE RD, CHARLESTON, SC 29407-7593
(757) 685-5878
Mailing address
300 ALBEMARLE RD, CHARLESTON, SC 29407-7593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2022
Last updated
07/05/2023
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