| Deealice Moton Hcsr | |
|
6350 Woodside Executive Ct Aiken SC 29803-3825 | |
| (706) 951-5812 | |
| (888) 807-5411 |
| Full Name | Deealice Moton Hcsr |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 6350 Woodside Executive Ct, Aiken, South Carolina |
| Authorized Official Name and Position | Dee Alice Moton (PROVIDER) |
| Authorized Official Contact | 7066276005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deealice Moton Hcsr 6240 Woodside Executive Ct Aiken SC 29803-3822 Ph: (706) 627-6005 | Deealice Moton Hcsr 6350 Woodside Executive Ct Aiken SC 29803-3825 Ph: (706) 951-5812 |
| NPI Number | 1164201836 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 4284075136 |
|---|---|
| Medicare Enrollment ID | O20240509003365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164201836 | NPI | - | NPPES |
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