Piedmont Behavioral Medicine Associates | |
200 S Herlong Ave Suite C Rock Hill SC 29732-3399 | |
(803) 323-2775 | |
(803) 325-2484 |
Full Name | Piedmont Behavioral Medicine Associates |
---|---|
Speciality | Behavior Analyst |
Location | 200 S Herlong Ave, Rock Hill, 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 |
---|---|
Piedmont Behavioral Medicine Associates Po Box 402368 Atlanta GA 30384-2368 Ph: (803) 323-2775 | Piedmont Behavioral Medicine Associates 200 S Herlong Ave Suite C Rock Hill SC 29732-3399 Ph: (803) 323-2775 |
NPI Number | 1265661763 |
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Provider Enumeration Date | 07/07/2009 |
Last Update Date | 06/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265661763 | NPI | - | NPPES |
GP5269 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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