| Ketamine Treatment Services | |
|
3015 Dunes West Blvd Ste 510 Mount Pleasant SC 29466-8252 | |
| (843) 714-8020 | |
| Not Available |
| Full Name | Ketamine Treatment Services |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 3015 Dunes West Blvd Ste 510, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Scott William Smith (OWNER/PRESIDENT) |
| Authorized Official Contact | 8437148020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Treatment Services 1851 Delacourt Ave Mount Pleasant SC 29466-9252 Ph: (843) 714-8020 | Ketamine Treatment Services 3015 Dunes West Blvd Ste 510 Mount Pleasant SC 29466-8252 Ph: (843) 714-8020 |
| NPI Number | 1669027595 |
|---|---|
| Provider Enumeration Date | 08/07/2019 |
| Last Update Date | 08/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669027595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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