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Individual

MR. DAVID EUGENE BRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Mailing address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
4654
SC
225100000X
Physical Therapist
4654
SC
2251S0007X
Sports Physical Therapist
4654
SC
2251X0800X
Orthopedic Physical Therapist
Primary
4654
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007359616
AETNA
SC
01
122490004505
HUMANA
SC
01
P3851977
OXFORD
SC
05
TH1876
SC
Enumeration date
09/27/2006
Last updated
07/27/2016
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