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1154309227
KENNETH CLOUGH COLBY
BEAUFORT, SC
NPI
1154309227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1010068)
Enumeration Date
2006-01-09
Last Update Date
2007-07-08
Business Address
Mr. KENNETH CLOUGH COLBY PA C
1 PINCKNEY BLVD
BEAUFORT, SC 29902-6122
Phone number: 843-228-5577
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Mailing Address
Mr. KENNETH CLOUGH COLBY PA C
PO BOX 6216A 1 PINCKNEY BLVD
BEAUFORT, SC 29902-6148
Phone number: 843-228-5577
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