Individual
MR. VINCENT ANTHONY MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
27 HAGER RD, BLUFFTON, SC 29910-9341
(843) 228-3520
Mailing address
PARRIS, ISLAND USMC, BEAUFORT, SC 29905
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
040002182
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040002182
BOC NATA CERTIFIED ATHLETIC TRAINERS
SC
Enumeration date
09/20/2022
Last updated
09/20/2022
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