Individual
BRIANNE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3250 HARDEN STREET EXT STE 100, COLUMBIA, SC 29203-6842
(803) 509-6389
Mailing address
3250 HARDEN STREET EXT STE 100, COLUMBIA, SC 29203-6842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1182
SC
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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