Proactive Therapy Of South Carolina Inc

NPI 1336149848 - Clinic/Center - 261QP2000X

NPI Details
NPI 1336149848
Enumeration Date 07/26/2005
Last Updated 08/31/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL E. MICHAEL
Position VICE PRESIDENT
Phone (843) 569-3879
Fax (843) 569-3848
Practice Location
7 S ALLIANCE DR
GOOSE CREEK SC, 29445-7172, US
Phone (843) 569-3879
Fax (843) 569-3848
Business Location
4714 GETTYSBURG RD
LEGAL DEPARTMENT
MECHANICSBURG PA, 17055-4325, US
Phone (717) 972-1100
Fax (717) 975-9981
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Proactive Therapy Of South Carolina Inc NPI is 1336149848, taxonomy code is 261QP2000X Proactive Therapy Of South Carolina Inc physically located at 7 S Alliance Dr, Goose Creek SC, 29445-7172. NPI Number 1033115704 has the healthcare provider type.

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1336149848 NPI number is provided on an as is basis without warranty of any kind. 1336149848 is maintained by the National Plan & Provider Enumeration System. The contents of Proactive Therapy Of South Carolina Inc are for informational purposes only.