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1162 North St Bamberg SC 29003-1275 | |
(803) 245-5184 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1162 North St, Bamberg, South Carolina |
Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
Authorized Official Contact | 8038965940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 21069 Columbia SC 29221-1069 Ph: () - | 1162 North St Bamberg SC 29003-1275 Ph: (803) 245-5184 |
NPI Number | 1548513955 |
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Provider Enumeration Date | 10/23/2012 |
Last Update Date | 10/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548513955 | NPI | - | NPPES |
DJJ005 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |