Individual
ANTHONY JAMES HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 557-7501
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 557-7501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175T00000X
—
SC
Enumeration date
07/25/2019
Last updated
07/25/2019
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