Individual
DAVID STODDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 SCARLET OAK DR, FOUNTAIN INN, SC 29644
(864) 608-9670
Mailing address
408 SCARLET OAK DR, FOUNTAIN INN, SC 29644
(864) 608-9670
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-2523372
—
SC
Enumeration date
07/29/2022
Last updated
07/29/2022
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