South, Carol G.

South, Carol G. is an individual health care provider with primary practice located at 302 E 24Th St , Bryan TX 77803-5303. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. South, Carol G. can be contacted via phone (979) 821-9478.

Contact Information

Primary practice address
302 E 24Th St Bryan TX 77803-5303
Phone: (979) 821-9478
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1000800 Texas

Profile Details

NPI number 1033250014
LBN Legal business name South, Carol G.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033250014 NPPES
Texas Other 83011T BCBS PROVIDER #

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