| Mad Bird Dawg, Inc. | |
|
725 Cherry Rd Ste 140 Rock Hill SC 29732-3143 | |
| (803) 818-2120 | |
| (803) 818-2119 |
| Full Name | Mad Bird Dawg, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 725 Cherry Rd Ste 140, Rock Hill, South Carolina |
| Authorized Official Name and Position | Eric Fockler (OWNER) |
| Authorized Official Contact | 7708665334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mad Bird Dawg, Inc. 1411 Mary Ellen Dr Fort Mill SC 29708-7982 Ph: (770) 866-5334 | Mad Bird Dawg, Inc. 725 Cherry Rd Ste 140 Rock Hill SC 29732-3143 Ph: (803) 818-2120 |
| NPI Number | 1184394611 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184394611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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