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Individual

HERBERT VICTOR CARMICHAEL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
100 PRATHER PARK DR, SUITE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5701
(843) 742-5704
Mailing address
100 PRATHER PARK DR, SUITE A, MYRTLE BEACH, SC 29588-7910
(843) 742-5701
(843) 742-5704

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7017
SC

Other

Enumeration date
08/12/2013
Last updated
08/12/2013
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