Individual
MR. RICHARD ANTHONY IZBICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9783 SC HIGHWAY 28 S, PARKSVILLE, SC 29845-3436
(706) 413-2866
(864) 280-9966
Mailing address
9783 SOUTH SC HWY 28, POBOX4899, PARKSVILLE, SC 29844-4899
(706) 413-2866
(864) 280-9966
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
090561672
SC
347C00000X
Private Vehicle
Primary
090561672
SC
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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