Individual
DARRYLE FISHBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 BELLE OAKS DR, SUITE 280, NORTH CHARLESTON, SC 29405-8537
(866) 571-2700
Mailing address
910 HAMPTON ST, WALTERBORO, SC 29488-4130
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
3065
SC
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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