NPI 1558354282

George Samuel Wham, EDDSCATATC

Practitioner Athletic Trainer Pelion, SC

Practice location

Address: 600 Lydia Dr, Pelion, SC 29123-9812
Phone: (803) 894-2276
Fax: (803) 894-2121
Mailing address: 320 Corley Mill Rd, Lexington, SC 29072-8403

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 275 (SC)

Other Specialist/Technologist providers in South Carolina →

Registry record

NPI: 1558354282
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2005
Record last updated: 18 Jan 2021

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.