| |
1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 | |
(843) 881-1866 | |
(843) 654-5896 |
Full Name | |
---|---|
Type | Facility |
Speciality | Specialist/technologist, Other |
Location | 1795 N Highway 17, Mount Pleasant, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942594544 | NPI | - | NPPES |
Mailing Address | Practice Location Address |
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1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 Ph: (843) 881-1866 | 1795 N Highway 17, Suite 5, Mount Pleasant, SC 29464-3631 Ph: (843) 881-1866 |