Ginger Candice South, ATC

NPI #1952529307 in Charleston, Illinois

Provider Information

NPI Number
1952529307
Entity Type
Individual
Name
Ginger Candice South, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
600 LINCOLN AVE
ZIP Code
61920-3011
Phone
(270) 303-2865

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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