Greenwood County

NPI 1063612984 - Case Management - 251B00000X

NPI Details
NPI 1063612984
Enumeration Date 07/19/2007
Last Updated 07/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TETEASA MICHELLE TETEASA
Position DIRECTOR
Phone (864) 942-8766
Fax
Practice Location
528 MONUMENT ST STE 105
GREENWOOD SC, 29646-2634, US
Phone (864) 942-8766
Fax
Business Location
PO BOX 3312
GREENWOOD SC, 29648-3312, US
Phone (864) 942-8766
Fax
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1063612984 NPI Number
 

According to our database, Greenwood County NPI is 1063612984, taxonomy code is 251B00000X Greenwood County physically located at 528 Monument St Ste 105, Greenwood SC, 29646-2634. NPI Number 1033115704 has the healthcare provider type.

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1063612984 NPI number is provided on an as is basis without warranty of any kind. 1063612984 is maintained by the National Plan & Provider Enumeration System. The contents of Greenwood County are for informational purposes only.