Individual
WADE BENJAMIN SPEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, CCI
Contact information
Practice address
720A S DUNCAN BYP, UNION, SC 29379-7830
(864) 429-3003
Mailing address
720A S DUNCAN BYP, UNION, SC 29379-7830
(864) 429-9009
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2192
SC
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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