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

MR. CLINTON R HAGGARD, ATC, LAT, NREMT-B

Active Sole Proprietor

MR. CLINTON R HAGGARD, ATC, LAT, NREMT-B is a Emergency Medical Technician, Basic healthcare provider located in COLUMBIA, South Carolina. NPI 1962430546 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · COLUMBIA, SC

Registration Details

NPI Number
1962430546
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2006 (20.133180504511 yrs)
Last Updated
Apr 15, 2016
License
8362 (AL)
Sole Proprietor
Yes

Practice Information

Address
1125 GEORGE ROGERS BLVD
COLUMBIA, SC, 292080001
Browse SC providers · Browse ZIP 29208
Phone
8037775574
Fax
8037778286
Primary Specialty
Emergency Medical Technician, Basic
146N00000X
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.