| Da Spott | |
|
100 Forum Dr Ste 3 Suite 106 Columbia SC 29229-7945 | |
| (803) 223-3321 | |
| Not Available |
| Full Name | Da Spott |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Forum Dr Ste 3, Columbia, South Carolina |
| Authorized Official Name and Position | Brian L Williams (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8032233321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Da Spott 6941 N Trenholm Rd Suite Q Columbia SC 29206-1715 Ph: (803) 223-3321 | Da Spott 100 Forum Dr Ste 3 Suite 106 Columbia SC 29229-7945 Ph: (803) 223-3321 |
| NPI Number | 1457630782 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457630782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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