Organization
CRESCENT THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DAVID PRIDGEN SR. (OWNER)
(803) 351-7502
Entity
Organization
Contact information
Practice address
146 STONEMONT DR, IRMO, SC 29063-8665
(803) 351-7502
Mailing address
146 STONEMONT DR, IRMO, SC 29063-8665
(803) 351-7502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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