Individual
DAVID BANNING HISLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 JOHN C LOGAN RD, RUTHERFORDTON, NC 28139-8254
(843) 597-3465
Mailing address
161 JOHN C LOGAN RD, RUTHERFORDTON, NC 28139-8254
(843) 597-3465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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