Fugate, Phillip Dwayne

Fugate, Phillip Dwayne is an individual health care provider with primary practice located at 101 Grace Dr , Easley SC 29640-9088. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fugate, Phillip Dwayne can be contacted via phone (864) 679-3100.

Contact Information

Primary practice address
101 Grace Dr Easley SC 29640-9088
Phone: (864) 679-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1067 South Carolina

Profile Details

NPI number 1275650426
LBN Legal business name Fugate, Phillip Dwayne
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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