Individual
AMANDA RENEE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, SCATC
Contact information
Practice address
66 GEORGE ST, SPORTS MEDICINE, CHARLESTON, SC 29424-0001
(834) 953-6540
Mailing address
66 GEORGE ST, SPORTS MEDICINE, CHARLESTON, SC 29424-0001
(834) 953-6540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000003469
NC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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