Individual
TIMOTHY CALEB HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 329-0029
(864) 329-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2012024847
MO
207Q00000X
Family Medicine Physician
Primary
37586
SC
207Q00000X
Family Medicine Physician
R-8701
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375865
—
SC
Enumeration date
08/13/2009
Last updated
02/16/2023
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