Individual
MR. LEONARD RAYMOND KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1740 WISTERIA CIR, HARTSVILLE, SC 29550-6982
(843) 861-0977
Mailing address
1740 WISTERIA CIR, HARTSVILLE, SC 29550-6982
(843) 861-0977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
423
SC
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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