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2043 Medical Park Dr Newberry SC 29108-2249 | |
| (803) 276-8000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2043 Medical Park Dr, Newberry, South Carolina |
| Authorized Official Name and Position | Lori Wilkerson Pruitt (HUMAN SERVICES CORDINATOR II) |
| Authorized Official Contact | 8032768000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2043 Medical Park Drive Newberry SC 29108 Ph: (803) 276-8000 | 2043 Medical Park Dr Newberry SC 29108-2249 Ph: (803) 276-8000 |
| NPI Number | 1972761724 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 05/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972761724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Jl Mchugh Insights And Development Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 228 Bill Dominick Rd, Newberry, SC 29108 Phone: 864-301-1808 | |