Ketamine Treatment Services | |
3015 Dunes West Blvd Ste 510 Mount Pleasant SC 29466-8252 | |
(843) 714-8020 | |
Not Available |
Full Name | Ketamine Treatment Services |
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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 |
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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 |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
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