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586 Highway 701 N Unit A Loris SC 29569-2473 | |
| (843) 756-7171 | |
| (843) 756-7176 |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 586 Highway 701 N, Loris, South Carolina |
| Authorized Official Name and Position | Howard Calhoun (LICENSED INDEPENDENT PRACTITIONER) |
| Authorized Official Contact | 8437567171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
586 Highway 701 N Unit A Loris SC 29569-2473 Ph: (843) 756-7171 | 586 Highway 701 N Unit A Loris SC 29569-2473 Ph: (843) 756-7171 |
| NPI Number | 1356722235 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 06/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356722235 | NPI | - | NPPES |
| 3410166 | Medicaid | NC | |
| 6005440 | Medicaid | NC | |
| 6102665 | Medicaid | NC |
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