| None | |
|
1340 Pine Log Rd Suite A Aiken SC 29803-6005 | |
| (803) 649-1866 | |
| (803) 649-1868 |
| Full Name | None |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1340 Pine Log Rd, Aiken, South Carolina |
| Authorized Official Name and Position | Ronald Paolini (OWNER) |
| Authorized Official Contact | 8036491866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 1340 Pine Log Rd Suite A Aiken SC 29803-6005 Ph: (803) 649-1866 | None 1340 Pine Log Rd Suite A Aiken SC 29803-6005 Ph: (803) 649-1866 |
| NPI Number | 1790874865 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790874865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | SC0341 (South Carolina) | Primary |
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