Organization
KERSHAW CNTY PSYCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUDHAKAR REDDY MORTHALA MD (OWNER)
(800) 599-7183
Entity
Organization
Contact information
Practice address
2039 WEST DEKALB, BUILDING 1 SUITE 1, CAMDEN, SC 29020-2092
(800) 599-7183
(803) 788-9564
Mailing address
2039 WEST DEKALB, BUILDING 1 SUITE 1, CAMDEN, SC 29020-2092
(800) 599-7183
(803) 788-9564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28478
SC
Other
Enumeration date
08/24/2006
Last updated
04/20/2008
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