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Individual

MR. VICTOR CARNELL SOUTH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
8 ALTHEA CIR, SUMTER, SC 29150-2464
(757) 515-0109
Mailing address
8 ALTHEA CIR, SUMTER, SC 29150-2464
(757) 515-0109

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2831
SC

Other

Enumeration date
03/26/2013
Last updated
03/26/2013
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