Individual
ALLEN DEAN HESSELGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1 BRUSHY MEADOWS DR, GREER, SC 29650-1006
(864) 989-1946
(864) 989-1947
Mailing address
1 BRUSHY MEADOWS DR, GREER, SC 29650-1006
(864) 989-1946
(864) 989-1947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CPO001909
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO001909
ABC
SC
Enumeration date
03/15/2010
Last updated
03/15/2010
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