| Randy E Hiatt | |
|
2145b Hoffmeyer Rd Florence SC 29501-4015 | |
| (843) 669-3323 | |
| (843) 661-6705 |
| Full Name | Randy E Hiatt |
|---|---|
| Speciality | Counselor |
| Location | 2145b Hoffmeyer Rd, Florence, South Carolina |
| Authorized Official Name and Position | Randy Eugene Hiatt (OWNER/PRESIDENT) |
| Authorized Official Contact | 8436693323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy E Hiatt 2145b Hoffmeyer Rd Florence SC 29501-4015 Ph: (843) 669-3323 | Randy E Hiatt 2145b Hoffmeyer Rd Florence SC 29501-4015 Ph: (843) 669-3323 |
| NPI Number | 1871605162 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 10/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871605162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1033 (South Carolina) | Primary |
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