Individual
ZAKARY STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT,ATC,SCAT
Contact information
Practice address
301 LORIS LIONS RD, LORIS, SC 29569-5004
(843) 380-6260
Mailing address
708 32ND AVENUE SOUTH, APARTMENT B, ATLANTIC BEACH, SC 29582
(330) 442-2029
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1730
SC
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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