Individual
SUSAN YEARGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1300 WHEAT ST, BLATT, RM 218N, COLUMBIA, SC 29208-0001
(803) 777-3169
Mailing address
110 SAINTS CREEK LN, IRMO, SC 29063-8158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1365
SC
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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