| Scx Ray Llc | |
|
104 Berkeley Square Lane Pmb #186 Goose Creek SC 29445 | |
| (843) 214-6683 | |
| Not Available |
| Full Name | Scx Ray Llc |
|---|---|
| Speciality | General Practice |
| Location | 104 Berkeley Square Lane Pmb, Goose Creek, South Carolina |
| Authorized Official Name and Position | Cristian De La Cruz (OWNER) |
| Authorized Official Contact | 8432146683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scx Ray Llc 104 Berkeley Square Lane Pmb #186 Goose Creek SC 29445 Ph: (843) 214-6683 | Scx Ray Llc 104 Berkeley Square Lane Pmb #186 Goose Creek SC 29445 Ph: (843) 214-6683 |
| NPI Number | 1801031406 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 12/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801031406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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