| Stat.md, Llc | |
|
3993 Meeting Street Loris SC 29569-3053 | |
| (843) 756-3008 | |
| (843) 756-3128 |
| Full Name | Stat.md, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3993 Meeting Street, Loris, South Carolina |
| Authorized Official Name and Position | Harry Nickey Gore (COO) |
| Authorized Official Contact | 8437563008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stat.md, Llc 1209 Miller Rd Tabor City NC 28463-9266 Ph: (910) 840-9559 | Stat.md, Llc 3993 Meeting Street Loris SC 29569-3053 Ph: (843) 756-3008 |
| NPI Number | 1881085918 |
|---|---|
| Provider Enumeration Date | 02/11/2015 |
| Last Update Date | 03/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881085918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Stephens Senior Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3501 Highway 917, Loris, SC 29569 Phone: 843-283-7815 | |
Sandhills Intergrated Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4123 Meeting St Ste A, Loris, SC 29569 Phone: 843-756-3008 | |
Behavior Balance, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3439 Casey St, Loris, SC 29569 Phone: 843-756-7171 Fax: 843-756-7176 | |
Behavior Balance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 Highway 701 N, Unit A, Loris, SC 29569 Phone: 843-756-7171 Fax: 843-756-7176 | |
Little River Medical Center, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-663-8000 Fax: 843-756-6828 | |
Behavior Balance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 586 Highway 701 N, A, Loris, SC 29569 Phone: 843-756-7171 Fax: 843-756-7176 |