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Individual

RICHARD V. MASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
410 UNIVERSITY PKWY, SUITE 1000, AIKEN, SC 29801
(803) 644-4264
(803) 649-0543
Mailing address
410 UNIVERSITY PKWY, SUITE 1000, AIKEN, SC 29801
(803) 644-4264
(803) 649-0543

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
TL28684
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
TL28684
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57-0724225
TAX ID
SC
Enumeration date
05/24/2006
Last updated
05/12/2008
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