| Martial Art Academy | |
|
1302 Whiskey Rd Aiken SC 29803-5308 | |
| (803) 642-5723 | |
| (803) 642-1158 |
| Full Name | Martial Art Academy |
|---|---|
| Speciality | Counselor |
| Location | 1302 Whiskey Rd, Aiken, South Carolina |
| Authorized Official Name and Position | Andrew Leroy Blocker (DIRECTOR) |
| Authorized Official Contact | 8036425723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martial Art Academy 1302 Whiskey Rd Aiken SC 29803-5308 Ph: (803) 642-5723 | Martial Art Academy 1302 Whiskey Rd Aiken SC 29803-5308 Ph: (803) 642-5723 |
| NPI Number | 1649247750 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649247750 | NPI | - | NPPES |
| MC0061 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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