# TONY SKORPUT PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336376581
- **Authorized official:** MR. ANTHONY PAUL SKORPUT JR. RPT (OWNER)
- **Authorized official phone:** (843) 423-1274

## Contact information

- **Practice address:** 701 MEDICAL PARK DR, SUITE 102, HARTSVILLE, SC 29550-4777
- **Practice address phone:** (843) 383-5370
- **Practice address fax:** (843) 332-5250
- **Mailing address:** 206 COUNTRY CLUB RD, MARION, SC 29571-6376
- **Mailing address phone:** (843) 423-1274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 318 | SC | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009