MACK CARLTON HARVEY

IRMO, SC
NPI1619932712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: SC  243)
Enumeration Date2006-04-20
Last Update Date2007-07-08
Business Address
Mr. MACK CARLTON HARVEY ATC
1400 OLD TAMAH RD
IRMO, SC 29063-9799
Phone number: 803-732-8055
Mailing Address
Mr. MACK CARLTON HARVEY ATC
18 BAMBOO GROVE CT
CHAPIN, SC 29036-7523
Phone number: 803-781-9149
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