Individual
KATELYN HUDSON STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PATEWOOD DR, GREENVILLE, SC 29615-3593
(843) 330-1803
Mailing address
121 CREEKLINE PL, GREENVILLE, SC 29607-7715
(843) 330-1803
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2000034216
SC
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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