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Organization

MEDITELECARE OF SOUTH CAROLINA LLC

Active
Other names
Meditelecare of South Carolina LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA TROJANOWSKI (DIRECTOR OF REVENUE CYCLE)
(860) 788-6404
Entity
Organization

Contact information

Practice address
508 MEETING ST, WEST COLUMBIA, SC 29169-7535
(860) 788-6404
Mailing address
PO BOX 1595, MIDDLETOWN, CT 06457-8095
(860) 788-6404
(860) 829-0495

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
07/29/2022
Last updated
07/29/2022
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