Organization
CHOATE HEALTH MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE WETZEL (CFO)
(610) 524-1552
Entity
Organization
Contact information
Practice address
655 MEDICAL PARK DRIVE, AIKEN, SC 29802
(803) 641-5907
(803) 641-5907
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(610) 524-1552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009439958
—
GA
01
—
CJ9471
RAILROAD MEDICARE
SC
05
—
GP3028
—
SC
Enumeration date
09/27/2006
Last updated
08/22/2020
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