Organization
MCC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRAN LONG (OFFICE MANAGER)
(864) 530-0302
Entity
Organization
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 530-0302
(864) 530-0304
Mailing address
PO BOX 25686, GREENVILLE, SC 29616-0686
(864) 530-0302
(864) 530-0304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5352
—
SC
Enumeration date
01/19/2010
Last updated
10/02/2012
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