Organization
PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC
Active
Parent organization
PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, LLC
Authorized official
CHERIE TOLLEY (CHIEF EXECUTIVE OFFICER)
(843) 747-5830
Entity
Organization
Contact information
Practice address
2777 SPEISSEGGER DR., CHARLESTON, SC 29405-8235
(843) 747-5830
(843) 745-5115
Mailing address
2777 SPEISSEGGER DR., CHARLESTON, SC 29405-8235
(843) 747-5830
(843) 745-5115
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00729
—
SC
05
—
RTF021
—
SC
Enumeration date
09/02/2010
Last updated
09/02/2010
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