Individual
MARIANNE PAVLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
Mailing address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
738
SC
Other
Enumeration date
06/08/2014
Last updated
06/08/2014
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