| Mustang Medicine Works, Llc | |
|
5642 Moorefield Memorial Hwy. Liberty SC 29657 | |
| (864) 508-0781 | |
| Not Available |
| Full Name | Mustang Medicine Works, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5642 Moorefield Memorial Hwy., Liberty, South Carolina |
| Authorized Official Name and Position | Darrell Gene Yardley (DIRECTOR) |
| Authorized Official Contact | 8645080781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustang Medicine Works, Llc Po Box 702 Liberty SC 29657-0702 Ph: (864) 508-0781 | Mustang Medicine Works, Llc 5642 Moorefield Memorial Hwy. Liberty SC 29657 Ph: (864) 508-0781 |
| NPI Number | 1124428016 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124428016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5933 (South Carolina) | Primary |
Mustang Medicine Works, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Iselin St, Liberty, SC 29657 Phone: 864-508-0781 Fax: 206-309-0077 |