Donna Deckard-bullock ATC, MED

NPI 1639366495 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1639366495
Gender Female
Enumeration Date 09/26/2007
Last Updated 09/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
CLEMSON SC, 29634-0001, US
Phone (864) 656-1951
Fax (864) 656-6408
Business Location
CLEMSON SC, 29633-0031, US
Phone (864) 656-1951
Fax (864) 656-6408
Taxonomy Code 2255A2300X
License State South Carolina
License Number 83
Remove 1639366495 NPI Number

According to our database, Donna Deckard-bullock ATC, MED NPI is 1639366495, taxonomy code is 2255A2300X and license number is 83, license state is located at South Carolina. Donna Deckard-bullock ATC, MED physically located at 100 Perimeter Rd, Clemson SC, 29634-0001. NPI Number Donna Deckard-bullock ATC, MED has the Individual type.

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1639366495 NPI number is provided on an as is basis without warranty of any kind. 1639366495 is maintained by the National Plan & Provider Enumeration System. The contents of Donna Deckard-bullock ATC, MED are for informational purposes only.