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Search › South Carolina › 225200000X

Evan Queen, PTA

NPI 1023365947 · on the registry since 2012

Practice

Address
2825 Carter Rd
Sumter, SC 29150
Phone
(803) 469-4032
Organisation at this address
Sumter Opco, Llc
Covenant Place Of Sumter, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina