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Individual

MR. SAMUEL BETHEA CANN V

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
212 WHITSETT ST, GREENVILLE, SC 29601-3141
(864) 920-2601
Mailing address
212 WHITSETT ST, GREENVILLE, SC 29601-3141

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6757
SC

Other

Enumeration date
11/15/2019
Last updated
11/15/2019
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