| Lancaster Treatment Specialists, Llc | |
|
977 N Main St Lancaster SC 29720-2188 | |
| (803) 745-7001 | |
| (803) 745-7002 |
| Full Name | Lancaster Treatment Specialists, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 977 N Main St, Lancaster, South Carolina |
| Authorized Official Name and Position | Brent Tyler Brady (OWNER/PROGRAM SPONSOR) |
| Authorized Official Contact | 8646165031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster Treatment Specialists, Llc 977 N Main St Lancaster SC 29720-2188 Ph: (803) 745-7001 | Lancaster Treatment Specialists, Llc 977 N Main St Lancaster SC 29720-2188 Ph: (803) 745-7001 |
| NPI Number | 1174289961 |
|---|---|
| Provider Enumeration Date | 11/16/2021 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 5496110108 |
|---|---|
| Medicare Enrollment ID | O20230503000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174289961 | NPI | - | NPPES |
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