Individual
DR. LARRY D CANTEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 US HIGHWAY 321 BYP N, WINNSBORO, SC 29180-9251
(803) 712-0373
(803) 635-1760
Mailing address
102 US HIGHWAY 321 BYP N, WINNSBORO, SC 29180-9251
(803) 712-0373
(803) 635-1760
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
9809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098094
—
SC
Enumeration date
04/11/2006
Last updated
07/08/2007
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