| Carolina Prudent Group Llc | |
|
2011 2nd Loop Rd Ste C Florence SC 29501-6187 | |
| (843) 407-5664 | |
| Not Available |
| Full Name | Carolina Prudent Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2011 2nd Loop Rd Ste C, Florence, South Carolina |
| Authorized Official Name and Position | William Jason Rogers (OWNER) |
| Authorized Official Contact | 8434075664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Prudent Group Llc 6 Orchard Ln Dallas PA 18612-9094 Ph: (302) 668-9501 | Carolina Prudent Group Llc 2011 2nd Loop Rd Ste C Florence SC 29501-6187 Ph: (843) 407-5664 |
| NPI Number | 1568204709 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568204709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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