| Stephen J Enns | |
|
224 Greenville St Nw Aiken SC 29801-3946 | |
| (803) 649-0808 | |
| (803) 649-5900 |
| Full Name | Stephen J Enns |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 224 Greenville St Nw, Aiken, South Carolina |
| Authorized Official Name and Position | Marti Herndon (OFFICE MANAGER) |
| Authorized Official Contact | 8036490808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen J Enns 224 Greenville St Nw Aiken SC 29801-3946 Ph: (803) 649-0808 | Stephen J Enns 224 Greenville St Nw Aiken SC 29801-3946 Ph: (803) 649-0808 |
| NPI Number | 1942666839 |
|---|---|
| Provider Enumeration Date | 01/07/2016 |
| Last Update Date | 01/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942666839 | NPI | - | NPPES |
| 00609122A | Medicaid | GA | |
| G38477 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (South Carolina) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 14838 (South Carolina) | Primary |
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