Individual
BRIAN PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, SCAT, CSCS
Contact information
Practice address
1411 E OLD MARION HWY, FLORENCE, SC 29506-7418
(843) 954-3608
Mailing address
1411 E OLD MARION HWY, FLORENCE, SC 29506-7418
(843) 954-3608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC034982
SC
Other
Enumeration date
06/23/2014
Last updated
08/02/2022
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