Individual
MR. JOHN W BEVERUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 QUILL DR, COLUMBIA, SC 29212-1613
(352) 215-5564
Mailing address
109 QUILL DR, COLUMBIA, SC 29212-1613
(352) 215-5564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
587
SC
235Z00000X
Speech-Language Pathologist
SA4465
FL
Other
Enumeration date
07/04/2013
Last updated
08/28/2024
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