| Secure | |
|
727 E Bay St Charleston SC 29403-5857 | |
| (843) 860-3587 | |
| Not Available |
| Full Name | Secure |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 727 E Bay St, Charleston, South Carolina |
| Authorized Official Name and Position | Dorian S Jeffcoat (PRINCIPAL/COO) |
| Authorized Official Contact | 8438603587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure 727 E Bay St Charleston SC 29403-5857 Ph: (843) 860-3587 | Secure 727 E Bay St Charleston SC 29403-5857 Ph: (843) 860-3587 |
| NPI Number | 1780077933 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780077933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1041C0700X (South Carolina) | Primary |
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