| Choate Health Management Inc | |
|
655 Medical Park Drive Aiken SC 29802 | |
| (803) 641-5907 | |
| (803) 641-5907 |
| Full Name | Choate Health Management Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 655 Medical Park Drive, Aiken, South Carolina |
| Authorized Official Name and Position | Bernice Wetzel (CFO) |
| Authorized Official Contact | 6105241552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choate Health Management Inc 367 S Gulph Rd King Of Prussia PA 19406-3121 Ph: (610) 524-1552 | Choate Health Management Inc 655 Medical Park Drive Aiken SC 29802 Ph: (803) 641-5907 |
| NPI Number | 1023109790 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023109790 | NPI | - | NPPES |
| 0009439958 | Medicaid | GA | |
| CJ9471 | Other | SC | RAILROAD MEDICARE |
| GP3028 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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