Individual
MR. HARRY B. DOUGLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
543 HIGHWAY 17 N, NORTH BEACH SHOPPING CENTER, NORTH MYRTLE BEACH, SC 29582-2903
(843) 249-7232
Mailing address
543 HIGHWAY 17 N, NORTH BEACH SHOPPING CENTER, NORTH MYRTLE BEACH, SC 29582-2903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1027
—
SC
Enumeration date
05/16/2006
Last updated
07/08/2007
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