Leslie Brooks Atwood, ATC
Individual provider Active NPI Athletic Trainer · Greenville, SC
NPI 1376899484 · NPPES record last updated Jul 25, 2012
Key facts
- NPI
- 1376899484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 1262 (SC)
- Practice address
- 3300 Poinsett Hwy
Greenville, SC 29613-0002 - Phone
- (864) 294-3532
- NPI assigned
- Jul 25, 2012
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1262 | SC | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1262 | SC | Yes |
Addresses
Primary practice location
3300 Poinsett Hwy
Greenville, SC 29613-0002
Mailing address
1003 Caledon CT
Greenville, SC 29615-3189
Phone (843) 496-4331
Other providers in Greenville, SC
- James Thomas Atkinson Jr.
- Shelly L Atkinson
- Adreann Attaway
- Kara Anne Atteberry
- Ashley Atwood
- Yvette Atwood
- Aubrey Grinstead Counseling LLC
- Erin L Aubrey
- Emily Aucoin
- Eric Aufdencamp
All providers in Greenville, SC · Athletic Trainer in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.