Individual
RYAN SACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC CSCS
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201
(803) 447-2367
Mailing address
6705 LONGBROOK RD, COLUMBIA, SC 29206-2249
(803) 447-2367
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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