Alexis Drose

NPI #1740708536 in Marion, South Carolina

Provider Information

NPI Number: 1740708536
Entity Type: Individual
Name: Alexis Drose
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 1, 2017
Last Updated: Sep 1, 2017

Practice Location

Address: 1418 DERRICK COURT
City: Marion
State: South Carolina
ZIP Code: 29571
Phone: (843) 289-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Organizations

Provider Name	Specialty	City
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