| NPI | 1194438770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES DALRYMPLE GULLEDGE CEO/Director 803-730-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |