Individual
MAKAYLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
521 LEBANON RD, BARNWELL, SC 29812-5390
(803) 571-1852
Mailing address
521 LEBANON RD, BARNWELL, SC 29812-5390
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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