| Addictionology Associates Llc | |
|
3150 Highway 153 Piedmont SC 29673-9498 | |
| (864) 295-1280 | |
| (864) 295-1294 |
| Full Name | Addictionology Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3150 Highway 153, Piedmont, South Carolina |
| Authorized Official Name and Position | William M Scott (OWNER) |
| Authorized Official Contact | 8642951280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addictionology Associates Llc Po Box 51539 Piedmont SC 29673-2047 Ph: (864) 295-1280 | Addictionology Associates Llc 3150 Highway 153 Piedmont SC 29673-9498 Ph: (864) 295-1280 |
| NPI Number | 1194896647 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 0446678635 |
|---|---|
| Medicare Enrollment ID | O20200921002185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194896647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SC8878 (South Carolina) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | William Marion Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942296181 PECOS PAC ID: 1658392188 Enrollment ID: I20051214000056 |
| Provider Name | Timothy A Naumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992188379 PECOS PAC ID: 8527375781 Enrollment ID: I20150921001371 |
| Provider Name | Kendall N Dorie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164081253 PECOS PAC ID: 3678904349 Enrollment ID: I20200513000748 |
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