Individual provider · Type 1 NPI
Damian Willis
Student in an Organized Health Care Education/Training Program · Columbia, SC
NPI number
1740635341
Active
Practice location
515 Mansfield
Columbia, SC 29203
Mailing address
515 Mansfield Lane
Columbia, SC 29203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1740635341
Damian Willis's National Provider Identifier is 1740635341, issued on May 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on May 2, 2016.