Organization
BREAKTHROUGH MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FRANCIS (ADMINISTRATOR)
(864) 757-8561
Entity
Organization
Contact information
Practice address
114B HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 757-8561
(864) 757-9474
Mailing address
114B HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 757-8561
(864) 757-9474
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTP-0201
DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
SC
Enumeration date
10/04/2018
Last updated
08/08/2019
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