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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WADE HAMPTON SHUGART IV, PT, DPT, OCS

Active Sole Proprietor

DR. WADE HAMPTON SHUGART IV, PT, DPT, OCS is a Physical Therapy Clinic healthcare provider located in CLEMSON, South Carolina. NPI 1710461132 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · CLEMSON, SC

Registration Details

NPI Number
1710461132
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2018 (7.8588951251414 yrs)
Last Updated
Sep 21, 2018
License
PT.9352 (SC)
Sole Proprietor
Yes

Practice Information

Address
205 FIKE REC CENTER
CLEMSON, SC, 296340001
Browse SC providers · Browse ZIP 29634
Phone
8646431344
Primary Specialty
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.