NPI 1003657701
Tatum Alyssa Hubbard, ATC
Practice location
- Address
- 104 Founders Dr, Conway, SC 29526-8658
- Phone
- (910) 417-9813
- Mailing address
- 122 Old Place Rd, Ellerbe, NC 28338-9179
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1003657701
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Jun 2024
- Record last updated
- 13 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.