NPI 1962430546

Clinton R Haggard, ATCLATNREMTB

Practitioner Basic Emergency Medical Technician Columbia, SC

Practice location

Address: 1125 George Rogers Blvd, Columbia, SC 29208-0001
Phone: (803) 777-5574
Fax: (803) 777-8286

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 8362 (AL)

Other Emergency Medical Technician, Basic providers in South Carolina →

Registry record

NPI: 1962430546
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 15 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.