Provider Demographics
NPI:1982744603
Name:CHRISTMAN, WILLIAM LAWRENCE II (ATC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LAWRENCE
Last Name:CHRISTMAN
Suffix:II
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:429 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3612
Mailing Address - Country:US
Mailing Address - Phone:864-597-4114
Mailing Address - Fax:264-597-4484
Practice Address - Street 1:429 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3612
Practice Address - Country:US
Practice Address - Phone:864-597-4114
Practice Address - Fax:264-597-4484
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7912255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC020102049OtherATHLETIC TRAINER