| |
922 Broad Street, Bennettsville, SC 29512 | |
(843) 454-2038 | |
(843) 479-9680 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 922 Broad Street, Bennettsville, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114036274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
231H00000X | Audiologist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
922 Broad Street, Po Box 947, Bennettsville, SC 29512 Ph: (843) 454-2038 | 922 Broad Street, Bennettsville, SC 29512 Ph: (843) 454-2038 |