| Metropolitan Mobile Psychiatric Services, Pc | |
|
111 Wimbledon Ct Greenwood SC 29646-8542 | |
| (240) 620-1759 | |
| Not Available |
| Full Name | Metropolitan Mobile Psychiatric Services, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 111 Wimbledon Ct, Greenwood, South Carolina |
| Authorized Official Name and Position | Keith O'brian Plowden (NURSE PRACTITIONER) |
| Authorized Official Contact | 2406201759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Mobile Psychiatric Services, Pc Po Box 49642 Greenwood SC 29649-0011 Ph: (240) 620-1759 | Metropolitan Mobile Psychiatric Services, Pc 111 Wimbledon Ct Greenwood SC 29646-8542 Ph: (240) 620-1759 |
| NPI Number | 1427409911 |
|---|---|
| Provider Enumeration Date | 06/26/2016 |
| Last Update Date | 06/26/2016 |
| Medicare PECOS PAC ID | 3971899519 |
|---|---|
| Medicare Enrollment ID | O20160908001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427409911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Keith O Plowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205150943 PECOS PAC ID: 4082837794 Enrollment ID: I20140528000922 |
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