| Nocd North Carolina Pc | |
|
374 Lakewind Dr Moncks Corner SC 29461-7448 | |
| (828) 424-3773 | |
| Not Available |
| Full Name | Nocd North Carolina Pc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 374 Lakewind Dr, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Mitchell Durham (PSYCHOLOGIST) |
| Authorized Official Contact | 8284243773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nocd North Carolina Pc 225 N Michigan Ave Ste 1430 Chicago IL 60601-7653 Ph: (312) 569-0820 | Nocd North Carolina Pc 374 Lakewind Dr Moncks Corner SC 29461-7448 Ph: (828) 424-3773 |
| NPI Number | 1114551926 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 03/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114551926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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