JOSEPH MAXWELL LONG

CAYCE, SC
NPI1619407939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: NC  LAT-3116)
Enumeration Date2017-06-19
Last Update Date2017-06-19
Business Address
JOSEPH MAXWELL LONG ATC, LAT, SCAT, BS
117 RUSSELL RD APT 201
CAYCE, SC 29033-1983
Phone number: 803-487-3510
Mailing Address
JOSEPH MAXWELL LONG ATC, LAT, SCAT, BS
117 RUSSELL RD APT 201
CAYCE, SC 29033-1983
Phone number:
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