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NPI Code Detail

MEDICARE: FLINN CHRISTIAN ATC

MEDICARE:   FLINN  CHRISTIAN  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1700592607
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLINN CHRISTIAN ATC
Provider Business Mailing Address
First Line : 12 EBB TIDE CT
Second Line :
City : SAINT HELENA ISLAND
State : SC
Zip : 29920-5013
Country : US
Telephone Number : 803-465-3208
Fax Number :
Provider Business Practice Location Address
First Line : 12 EBB TIDE CT
Second Line :
City : SAINT HELENA ISLAND
State : SC
Zip : 29920-5013
Country : US
Telephone Number : 803-465-3208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2023
Last Update Date : 05/10/2024

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Directions to “ FLINN CHRISTIAN ATC” Practice Location

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