Provider Demographics
NPI:1063407427
Name:VOLK, DARREN W (MS, PT)
Entity type:Individual
Prefix:MR
First Name:DARREN
Middle Name:W
Last Name:VOLK
Suffix:
Gender:M
Credentials:MS, PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:227 S. PENDLETON ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640
Mailing Address - Country:US
Mailing Address - Phone:864-855-7030
Mailing Address - Fax:864-855-7019
Practice Address - Street 1:790 N. MAIN ST
Practice Address - Street 2:STE. 102
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525
Practice Address - Country:US
Practice Address - Phone:706-212-0661
Practice Address - Fax:706-212-0662
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3622225100000X
NC6732225100000X
GAPT007820225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA195024847AMedicaid
GA195024847AMedicaid
GAP94770Medicare UPIN
NCQ48561E148Medicare PIN
GA195024847AMedicaid