Individual
MR. CLINTON R HAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, NREMT-B
Contact information
Practice address
1125 GEORGE ROGERS BLVD, COLUMBIA, SC 29208-0001
(803) 777-5574
(803) 777-8286
Mailing address
1125 GEORGE ROGERS BLVD, COLUMBIA, SC 29208-0001
(803) 777-5574
(803) 777-8286
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
8362
AL
Other
Enumeration date
06/30/2006
Last updated
04/15/2016
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