Lowcountry Psychiatric Associates | |
25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 | |
(843) 757-4737 | |
Not Available |
Full Name | Lowcountry Psychiatric Associates |
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Speciality | Psychiatry & Neurology |
Location | 25 Clark Summit Dr # F-201, Bluffton, South Carolina |
Authorized Official Name and Position | Richard Ford (OWNER) |
Authorized Official Contact | 8437574737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lowcountry Psychiatric Associates 25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 Ph: () - | Lowcountry Psychiatric Associates 25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 Ph: (843) 757-4737 |
NPI Number | 1780908624 |
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Provider Enumeration Date | 03/22/2010 |
Last Update Date | 03/22/2010 |
Medicare PECOS PAC ID | 9537314315 |
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Medicare Enrollment ID | O20130228000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780908624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Vicki A Bonnell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881852515 PECOS PAC ID: 3971736257 Enrollment ID: I20140513000524 |
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