Individual
MR. DARRYL DWIGHT LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 N PEARL ST, PAGELAND, SC 29728-1925
(704) 906-1430
(803) 696-4227
Mailing address
122 N PEARL ST, PAGELAND, SC 29728-1925
(704) 906-1430
(803) 696-4227
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832152879
—
SC
Enumeration date
10/22/2018
Last updated
10/22/2018
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