South Carolina Interventionists, Inc. | |
154a Waccamaw Medical Park Ct Conway SC 29526-8965 | |
(843) 347-6015 | |
Not Available |
Full Name | South Carolina Interventionists, Inc. |
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Speciality | Behavior Analyst |
Location | 154a Waccamaw Medical Park Ct, Conway, South Carolina |
Authorized Official Name and Position | Deborah Wardell (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8434241129 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Carolina Interventionists, Inc. 1860 Auburn Ln Apt 19c Myrtle Beach SC 29575-5157 Ph: (843) 424-1129 | South Carolina Interventionists, Inc. 154a Waccamaw Medical Park Ct Conway SC 29526-8965 Ph: (843) 347-6015 |
NPI Number | 1336679646 |
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Provider Enumeration Date | 06/19/2017 |
Last Update Date | 06/19/2017 |
Identifier | Type | State | Issuer |
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1336679646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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