Tideland Psychiatric Services Columbia | |
1208 Highway 64 Columbia NC 27925-0000 | |
(252) 796-0595 | |
(252) 796-0211 |
Full Name | Tideland Psychiatric Services Columbia |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1208 Highway 64, Columbia, North Carolina |
Authorized Official Name and Position | Susan S Gerard (MEDICAL PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 2529754203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tideland Psychiatric Services Columbia 1208 Highway 64 Columbia NC 27925-0000 Ph: (252) 796-0595 | Tideland Psychiatric Services Columbia 1208 Highway 64 Columbia NC 27925-0000 Ph: (252) 796-0595 |
NPI Number | 1972731859 |
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Provider Enumeration Date | 06/30/2009 |
Last Update Date | 06/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972731859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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