| Gtog Services | |
|
218 Martin Luther King Ave Kingstree SC 29556-4072 | |
| (980) 585-4843 | |
| Not Available |
| Full Name | Gtog Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 218 Martin Luther King Ave, Kingstree, South Carolina |
| Authorized Official Name and Position | Tracey N Gainey (PRESIDENT) |
| Authorized Official Contact | 3366244183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtog Services 5009 -d Endolwood St. Charlotte NC 28215 Ph: (980) 585-4843 | Gtog Services 218 Martin Luther King Ave Kingstree SC 29556-4072 Ph: (980) 585-4843 |
| NPI Number | 1497392419 |
|---|---|
| Provider Enumeration Date | 12/09/2019 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497392419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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