Individual
MRS. ALEXIS LAUREN ELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
907 WESLEYAN DR, CENTRAL, SC 29630-9748
(864) 644-5313
Mailing address
122 LOCHE DR, PIEDMONT, SC 29673-9411
(864) 752-7845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200003252
SC
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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