Individual
MARY L HALBRITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5651
(803) 641-5625
Mailing address
PO BOX 741221, ATLANTA, GA 30374-1221
(803) 641-5651
(803) 641-5625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL1321
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0858PA
—
SC
Enumeration date
09/09/2008
Last updated
11/20/2013
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