Blaine Allen Burris, ATC
NPI #1316292816 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1316292816
- Entity Type
- Individual
- Name
- Blaine Allen Burris, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 20, 2012
- Last Updated
- Jul 20, 2012
Practice Location
- Address
- 7344 SUNCATCHER DR
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410
- Phone
- (580) 606-3484
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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