Individual
HALEY BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E MEDICAL LN, WEST COLUMBIA, SC 29169-4813
(252) 373-3634
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 791-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12517
SC
Other
Enumeration date
08/12/2024
Last updated
08/22/2024
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