Individual
MS. SUSAN KATHARINA BUOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
236 ORCHARD HILL DR, WEST COLUMBIA, SC 29170-3075
(803) 358-0220
Mailing address
236 ORCHARD HILL DR, WEST COLUMBIA, SC 29170-3075
(803) 358-0220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1062
SC
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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