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Individual

MR. GLEN AUTHOR MCCANTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPSGT

Contact information

Practice address
310 PINEY GROVE RD, COLUMBIA, SC 29210-3748
(803) 772-2571
Mailing address
310 PINEY GROVE RD, COLUMBIA, SC 29210-3748
(803) 772-2571

Taxonomy

Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
1693
SC

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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