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Individual

TERRY RAY PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4777
(803) 898-4855
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4777
(803) 898-4855

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/28/2006
Last updated
07/08/2007
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