| |
75 Baylor Dr Ste 155 Bluffton SC 29910-8965 | |
(843) 836-3667 | |
(843) 836-3677 |
Full Name | |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 75 Baylor Dr, Bluffton, South Carolina |
Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
Authorized Official Contact | 4042655009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 742798 Atlanta GA 30374-2798 Ph: (843) 836-3667 | 75 Baylor Dr Ste 155 Bluffton SC 29910-8965 Ph: (843) 836-3667 |
NPI Number | 1851798060 |
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Provider Enumeration Date | 12/03/2014 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
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1851798060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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