| Antoinette Dominique Pryor, SLP | |
|
9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230 | |
| (803) 873-2243 | |
| Not Available |
| Full Name | Antoinette Dominique Pryor |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 9325 Blue House Rd Apt 11105, Ladson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336792472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4382 (South Carolina) | Primary |
| Provider Name | Affinity Rehabilitation Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Antoinette Dominique Pryor, SLP 9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230 Ph: (803) 873-2243 | Antoinette Dominique Pryor, SLP 9325 Blue House Rd Apt 11105, Ladson, SC 29456-4230 Ph: (803) 873-2243 |
Mrs. Chrisonia Dawn Williams-busch, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 103 Diploma Dr, Ladson, SC 29456 Phone: 843-412-5588 | |
Holly Brooke Jones, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Ashley Scott, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 102, Ladson, SC 29456 Phone: 888-510-6369 Fax: 888-510-9156 | |
Ascension Collective Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 Towering Pine Dr, Ladson, SC 29456 Phone: 228-239-0522 | |
Sarah Gerth Neville, MSP, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Mary Moffett Priddy, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Allison Lynne Selk, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 |