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Individual

KELSEY POTTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1051 SOUTHERN DR, 1207, COLUMBIA, SC 29201-5189
(214) 519-4524
Mailing address
1051 SOUTHERN DR., 1207, COLUMBIA, SC 29201-4972
(214) 519-4524

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/17/2015
Last updated
03/17/2017
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