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Individual

CAMISHA MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
966 OLD AIKEN RD, NORTH AUGUSTA, SC 29841-9435
(803) 278-1567
Mailing address
966 OLD AIKEN RD, NORTH AUGUSTA, SC 29841-9435

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2577
SC
225200000X
Physical Therapy Assistant
A4778
NC
225200000X
Physical Therapy Assistant
Primary
PTA002778
GA

Other

Enumeration date
10/03/2013
Last updated
10/03/2013
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