Ashley Marisa Carlson, ATC

Individual provider Active NPI Athletic Trainer · MC Bee, SC

NPI 1053948323 · NPPES record last updated Mar 25, 2020

Key facts

NPI
1053948323
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
2000027208
Practice address
264 E Pine Ave
MC Bee, SC 29101-8852
Phone
(843) 335-8251
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000027208 Yes

Addresses

Primary practice location

264 E Pine Ave
MC Bee, SC 29101-8852

Mailing address

109 Lakeview Blvd
Hartsville, SC 29550-3005
Phone (740) 412-9773

Other providers in MC Bee, SC

All providers in MC Bee, SC · Athletic Trainer in South Carolina

Sources for this page

Verify at the official NPI Registry.