Individual
MR. CHARLES BRIAN HEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
171 BRIGHTWATER DR, MYRTLE BEACH, SC 29579
(843) 903-0786
Mailing address
9804 PLUMFIELD CT, MYRTLE BEACH, SC 29579-5345
(843) 230-5566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2744
SC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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