| Kershaw Cnty Psych Llc | |
|
2039 West Dekalb Building 1 Suite 1 Camden SC 29020-2092 | |
| (800) 599-7183 | |
| (803) 788-9564 |
| Full Name | Kershaw Cnty Psych Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2039 West Dekalb, Camden, South Carolina |
| Authorized Official Name and Position | Sudhakar Reddy Morthala (OWNER) |
| Authorized Official Contact | 8005997183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kershaw Cnty Psych Llc 2039 West Dekalb Building 1 Suite 1 Camden SC 29020-2092 Ph: (800) 599-7183 | Kershaw Cnty Psych Llc 2039 West Dekalb Building 1 Suite 1 Camden SC 29020-2092 Ph: (800) 599-7183 |
| NPI Number | 1366559395 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366559395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28478 (South Carolina) | Primary |
Medical University Hospital Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
J & R Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Broad St Ste G, Camden, SC 29020 Phone: 833-741-7770 Fax: 866-770-5166 | |
Kershaw County Schools Rbhs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Campbell St, Camden, SC 29020 Phone: 803-425-7712 Fax: 803-425-7713 | |
Medical University Hospital Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311 | |
Kershaw County Djj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Broad St, Camden, SC 29020 Phone: 803-432-9171 | |
Center Of Change Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2039 W Dekalb St, Building 1, Suite 2, Camden, SC 29020 Phone: 803-432-5200 Fax: 803-432-5199 |