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Organization
USC TELEHEALTH
Active
Organization
USC TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PERATA (MSW INTERN)
(850) 843-3239
Entity
Organization
Contact information
Practice address
818 ASHTON POINTE BLVD, BEAUFORT, SC 29906-6024
(850) 843-3239
(850) 770-1084
Mailing address
818 ASHTON POINTE BLVD, BEAUFORT, SC 29906-6024
(850) 843-3239
(850) 770-1084
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10143
SC
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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