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Individual

MRS. CARLA FAIR FLEMING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6612 OLD NUMBER SIX HWY, ELLOREE, SC 29047-8704
(803) 308-4253
Mailing address
6612 OLD NUMBER SIX HWY, ELLOREE, SC 29047-8704
(803) 308-4253

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4321
SC

Other

Enumeration date
03/05/2007
Last updated
02/03/2012
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