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1023652021
STEVEN SCOTT CHILDRESS
MURRELLS INLET, SC
NPI
1023652021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: SC 4310)
Enumeration Date
2019-11-01
Last Update Date
2019-11-01
Business Address
Mr. STEVEN SCOTT CHILDRESS PTA
11931 PLAZA DR
MURRELLS INLET, SC 29576-9356
Phone number: 843-357-4039
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Mailing Address
Mr. STEVEN SCOTT CHILDRESS PTA
11931 PLAZA DR
MURRELLS INLET, SC 29576-9356
Phone number:
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