Skylar Brynn Hudgens-Wallace
Specialist/Technologist, Athletic Trainer in Columbia, SC. Individual provider (NPI-1).
NPI number1356969737
StatusActive
Last updated in NPPESJul 11, 2020
Details
- NPI
- 1356969737
- Entity type
- Individual (NPI-1)
- Name
- Skylar Brynn Hudgens-Wallace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2020
- Certification date
- Jul 11, 2020
- Last updated
- Jul 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
208 Amelia Oaks WayColumbia, SC 29209-1753
Phone 678-832-9239
Mailing address
208 Amelia Oaks WayColumbia, SC 29209-1753
Phone 678-832-9239
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