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Organization
KETAMINE TREATMENT SERVICES
Active
Organization
KETAMINE TREATMENT SERVICES
Active
Other names
Dunes West Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM SMITH MD (OWNER/PRESIDENT)
(843) 714-8020
Entity
Organization
Contact information
Practice address
3015 DUNES WEST BLVD STE 510, MOUNT PLEASANT, SC 29466-8252
(843) 714-8020
Mailing address
1851 DELACOURT AVE, MOUNT PLEASANT, SC 29466-9252
(843) 714-8020
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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