Provider Demographics
NPI:1013097955
Name:CALHOUN, BEVERLY JANE (RPT)
Entity Type:Individual
Prefix:MRS
First Name:BEVERLY
Middle Name:JANE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 FORRESTER CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-281-9424
Mailing Address - Fax:864-675-9122
Practice Address - Street 1:NHL MAULDIN
Practice Address - Street 2:850 E BUTLER RD
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-675-6421
Practice Address - Fax:864-675-9122
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC213225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist