Individual
DR. WADE HAMPTON SHUGART IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
205 FIKE REC CENTER, CLEMSON, SC 29634-0001
(864) 643-1344
Mailing address
205 FIKE REC CENTER, CLEMSON, SC 29634-0001
(864) 643-1344
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT.9352
SC
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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