Blake Banner
Blake Banner is an Athletic Trainer in Elgin, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
971A Roberts DrElgin, SC 29045-9087
Phone: (803) 543-2185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (SC) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X (SC) |
Record details
| NPI number | 1821465592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 28, 2015 |
| Last updated in NPPES | August 28, 2015 |
| Mailing address | 971a Roberts Dr, Elgin, SC 29045-9087 |
Other providers in Elgin
-
Mario Christopher Cosce, MS, ATC
317 Deer Run Rd, Elgin, SC 29045-8609 · (502) 643-0616
-
Abigail Davis
1950 Elgin Dr, Elgin, SC 29045 · (803) 465-4850