Alexia Abraham

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rock Hill, SC

NPI 1821597089 · NPPES record last updated Feb 2, 2018

Key facts

NPI
1821597089
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
470 Alysia CT Apt 302
Rock Hill, SC 29732-7534
Phone
(803) 566-3078
Fax
(803) 566-3078
NPI assigned
Feb 2, 2018
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

470 Alysia CT Apt 302
Rock Hill, SC 29732-7534

Mailing address

470 Alysia CT Apt 302
Rock Hill, SC 29732-7534
Phone (803) 566-3078

Other providers in Rock Hill, SC

All providers in Rock Hill, SC · Student in an Organized Health Care Education/Training Program in South Carolina

Sources for this page

Verify at the official NPI Registry.