Individual
CLIFTON R CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 READ ST, COLUMBIA, SC 29204-7861
(803) 708-1620
Mailing address
2601 READ ST, COLUMBIA, SC 29204-7861
(803) 708-1620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2024-64805-63597
SC
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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