Individual
CHRIS WAYNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 227-8000
Mailing address
18 ROSEWALK LN, ELGIN, SC 29045-9407
(803) 530-8291
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005071
SC
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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