Healthcare Provider Details

I. General information

NPI: 1881001360
Provider Name (Legal Business Name): ERIN ELIZABETH CAHOON ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 GILLS CREEK PKWY APT 514
COLUMBIA SC
29209-1237
US

IV. Provider business mailing address

500 GILLS CREEK PKWY APT 514
COLUMBIA SC
29209-1237
US

V. Phone/Fax

Practice location:
  • Phone: 407-583-9994
  • Fax:
Mailing address:
  • Phone: 407-583-9994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: