Individual
COURTNEY CHEYANNE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1050 SOUTHERN DR APT 1806, COLUMBIA, SC 29201-5644
(843) 468-0640
Mailing address
1050 SOUTHERN DR APT 1806, COLUMBIA, SC 29201-5644
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2479
SC
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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