| Lowcountry Psychiatric Associates | |
|
25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 | |
| (843) 757-4737 | |
| Not Available |
| Full Name | Lowcountry Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25 Clark Summit Dr # F-201, Bluffton, South Carolina |
| Authorized Official Name and Position | Richard Ford (OWNER) |
| Authorized Official Contact | 8437574737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lowcountry Psychiatric Associates 25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 | Lowcountry Psychiatric Associates 25 Clark Summit Dr # F-201 Bluffton SC 29910-4205 Ph: (843) 757-4737 |
| NPI Number | 1780908624 |
|---|---|
| Provider Enumeration Date | 03/22/2010 |
| Last Update Date | 03/22/2010 |
| Medicare PECOS PAC ID | 9537314315 |
|---|---|
| Medicare Enrollment ID | O20130228000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780908624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Vicki a Bonnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881852515 PECOS PAC ID: 3971736257 Enrollment ID: I20140513000524 |
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