Individual
TCHALLA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
347 DOVESVILLE HWY, DARLINGTON, SC 29540-9366
(843) 230-8824
(877) 827-5681
Mailing address
PO BOX 607, DARLINGTON, SC 29540-0607
(843) 230-8824
(877) 827-5681
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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