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212 W Mcgregor St Pageland SC 29728-2137 | |
| (843) 672-7096 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 212 W Mcgregor St, Pageland, South Carolina |
| Authorized Official Name and Position | Martin Sean Etheridge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8436727096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
274 Sedgewick Dr Apt 101 Fort Mill SC 29708-8170 Ph: (404) 655-9802 | 212 W Mcgregor St Pageland SC 29728-2137 Ph: (843) 672-7096 |
| NPI Number | 1245627769 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245627769 | NPI | - | NPPES |
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