Individual
HAGOOD O RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 HEALTHY WAY, SUITE 1110, ANDERSON, SC 29621-2067
(864) 261-3099
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211343
—
NC
Enumeration date
10/03/2006
Last updated
07/08/2007
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