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Individual

MR. BRIAN MARK FEAGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL, CHT

Contact information

Practice address
101 JOHNS ST, SUITE 100, FLORENCE, SC 29506-2777
(843) 662-5233
(843) 678-9003
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7120
(843) 777-7102

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1552
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5247260001
MEDICARE DME
SC
05
TH1387
SC
Enumeration date
11/15/2005
Last updated
11/08/2016
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