Organization
UDERITZ FAMILY PSYCHIATRY, LLC
Active
Other names
Angel Oak Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JAY UDERITZ MD (OWNER - PSYCHIATRIST)
(843) 872-5454
Entity
Organization
Contact information
Practice address
3227 WALTER DR STE 3B, JOHNS ISLAND, SC 29455-8171
(843) 872-5454
(843) 872-5501
Mailing address
3227 WALTER DR STE 1B, JOHNS ISLAND, SC 29455-8171
(843) 872-5454
(843) 872-5501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34478
SC
2084P0804X
Child & Adolescent Psychiatry Physician
34478
SC
Other
Enumeration date
08/02/2017
Last updated
11/19/2024
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