Individual
SAMANTHA SNIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3000 LOCKHART RD, KERSHAW, SC 29067-9661
(803) 432-9858
Mailing address
3000 LOCKHART RD, KERSHAW, SC 29067-8950
(803) 432-9858
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2014
Last updated
01/05/2017
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