Individual
SIQI HONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 BLOSSOM ST, COLUMBIA, SC 29208-2909
(617) 378-8176
Mailing address
1051 SOUTHERN DR UNIT 3115, COLUMBIA, SC 29201-5631
(617) 378-8176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
SC508640
SC
Other
Enumeration date
09/18/2017
Last updated
01/02/2020
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