| Skyla Inc. | |
|
775 Addison Dr Ste 111 Rock Hill SC 29730-7061 | |
| (803) 832-4446 | |
| Not Available |
| Full Name | Skyla Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 775 Addison Dr Ste 111, Rock Hill, South Carolina |
| Authorized Official Name and Position | Patricia King Rucker (PRESIDENT) |
| Authorized Official Contact | 8038324446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyla Inc. 586 Foster Heights Dr Lancaster SC 29720-9218 Ph: (803) 832-4446 | Skyla Inc. 775 Addison Dr Ste 111 Rock Hill SC 29730-7061 Ph: (803) 832-4446 |
| NPI Number | 1003320003 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003320003 | NPI | - | NPPES |
| Z34311 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3431 (South Carolina) | Primary |
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