Healthcare Provider Details

I. General information

NPI: 1487726949
Provider Name (Legal Business Name): CLIFFORD LEE STEAGALL PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HOSPITAL CENTER BLVD STE 250
HILTON HEAD ISLAND SC
29926-8702
US

IV. Provider business mailing address

5966 BOND ST
CUMMING GA
30040-0205
US

V. Phone/Fax

Practice location:
  • Phone: 843-671-7342
  • Fax: 843-671-7343
Mailing address:
  • Phone: 770-887-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT002472
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP053631T
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: