Individual
SAMANTHA EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2100 CHARLIE HALL BLVD OFC 136, CHARLESTON, SC 29414-5832
(843) 852-4100
(843) 573-2393
Mailing address
2100 CHARLIE HALL BLVD OFC 136, CHARLESTON, SC 29414-5832
(843) 852-4100
(843) 573-2393
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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