| Stroud Community Group | |
|
107 Jarrod Ct Irmo SC 29063-2137 | |
| (347) 962-0324 | |
| Not Available |
| Full Name | Stroud Community Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Jarrod Ct, Irmo, South Carolina |
| Authorized Official Name and Position | Jamal Lance Stroud (DIRECTOR) |
| Authorized Official Contact | 3479620324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stroud Community Group 107 Jarrod Ct Irmo SC 29063-2137 Ph: (347) 962-0324 | Stroud Community Group 107 Jarrod Ct Irmo SC 29063-2137 Ph: (347) 962-0324 |
| NPI Number | 1417318312 |
|---|---|
| Provider Enumeration Date | 03/19/2016 |
| Last Update Date | 03/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417318312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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