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Individual

MR. CHARLES HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., ATC

Contact information

Practice address
1162 EDEN TER, ROCK HILL, SC 29730-3208
(803) 242-3242
Mailing address
11012 HUNTER TRAIL LN, CHARLOTTE, NC 28226-1625

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1177
SC

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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