| Carolina Family Psychiatry, Llc | |
|
300 W Coleman Blvd Suite 201 Mt Pleasant SC 29464-3429 | |
| (843) 971-9495 | |
| (843) 971-9697 |
| Full Name | Carolina Family Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 300 W Coleman Blvd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | John J. Broderick-cantwell (SOLE PROPRIETOR) |
| Authorized Official Contact | 8439719495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Psychiatry, Llc 300 W Coleman Blvd Suite 201 Mt Pleasant SC 29464-3429 Ph: (843) 971-9495 | Carolina Family Psychiatry, Llc 300 W Coleman Blvd Suite 201 Mt Pleasant SC 29464-3429 Ph: (843) 971-9495 |
| NPI Number | 1124176896 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124176896 | NPI | - | NPPES |
| 28903 | Other | SC | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28903 (South Carolina) | Primary |
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