Thornwell | |
302 S Broad St Clinton SC 29325-2507 | |
(864) 938-2100 | |
(864) 938-2122 |
Full Name | Thornwell |
---|---|
Speciality | Community/behavioral Health |
Location | 302 S Broad St, Clinton, South Carolina |
Authorized Official Name and Position | Morgan Ednie (VICE PRESIDENT OF PROGRAMS) |
Authorized Official Contact | 8649235998 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Thornwell 302 S Broad St Clinton SC 29325-2507 Ph: (864) 938-2100 | Thornwell 302 S Broad St Clinton SC 29325-2507 Ph: (864) 938-2100 |
NPI Number | 1609137967 |
---|---|
Provider Enumeration Date | 06/04/2012 |
Last Update Date | 09/03/2024 |
Certification Date | 09/03/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609137967 | NPI | - | NPPES |
199BHS | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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