Organization
SOUTH CAROLINA INTERVENTIONISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH WARDELL (EXECUTIVE DIRECTOR)
(843) 424-1129
Entity
Organization
Contact information
Practice address
154A WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-6015
Mailing address
1860 AUBURN LN APT 19C, MYRTLE BEACH, SC 29575-5157
(843) 424-1129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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