Bria Adams

Individual provider Active NPI Athletic Trainer · Orangeburg, SC

NPI 1003438771 · NPPES record last updated May 15, 2020

Key facts

NPI
1003438771
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2482 (SC)
Practice address
300 College Ave
Orangeburg, SC 29115-4427
Phone
(661) 478-2167
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2482SCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2482 SC Yes

Addresses

Primary practice location

300 College Ave
Orangeburg, SC 29115-4427

Mailing address

248 Willing Lakes CT
Orangeburg, SC 29118-1862

Other practice location 1

248 Willing Lakes Ct
Orangeburg, SC 29118-1862
Phone (661) 478-2167

Other providers in Orangeburg, SC

All providers in Orangeburg, SC · Athletic Trainer in South Carolina

Sources for this page

Verify at the official NPI Registry.