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Individual

COURTNEY HILL KALLINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303-4208
(864) 560-6844
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2901
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SCD1575019
MEDICARE PIN
SC
Enumeration date
05/14/2018
Last updated
12/10/2019
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