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186 Brians Lake Rd Mountain Rest SC 29664-9111 | |
(864) 638-6005 | |
(864) 638-6099 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 186 Brians Lake Rd, Mountain Rest, South Carolina |
Authorized Official Name and Position | Sally Clay (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8646386005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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186 Brians Lake Rd Mountain Rest SC 29664-9111 Ph: (864) 638-6005 | 186 Brians Lake Rd Mountain Rest SC 29664-9111 Ph: (864) 638-6005 |
NPI Number | 1417441387 |
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Provider Enumeration Date | 06/14/2018 |
Last Update Date | 11/30/2021 |
Certification Date | 11/30/2021 |
Identifier | Type | State | Issuer |
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1417441387 | NPI | - | NPPES |