| Mcc, Inc. | |
|
1005 Grove Rd Greenville SC 29605-4630 | |
| (864) 530-0302 | |
| (864) 530-0304 |
| Full Name | Mcc, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1005 Grove Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Fran Long (OFFICE MANAGER) |
| Authorized Official Contact | 8645300302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcc, Inc. Po Box 25686 Greenville SC 29616-0686 Ph: (864) 530-0302 | Mcc, Inc. 1005 Grove Rd Greenville SC 29605-4630 Ph: (864) 530-0302 |
| NPI Number | 1306177019 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 10/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306177019 | NPI | - | NPPES |
| GP5352 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (South Carolina) | Primary |
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