Donna Deckard-Bullock, ATC, MED
NPI #1639366495 in Clemson, South Carolina
Provider Information
- NPI Number
- 1639366495
- Entity Type
- Individual
- Name
- Donna Deckard-Bullock, ATC, MED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, MED
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Sep 26, 2007
Practice Location
- Address
- 100 PERIMETER RD
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29634-0001
- Phone
- (864) 656-1951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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