Organization
CATHLEEN KOUVOLO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHLEEN KOUVOLO WINCEY MD (PSYCHIATRIST)
(843) 614-2675
Entity
Organization
Contact information
Practice address
9263 MEDICAL PLAZA DR, SUITE A, NORTH CHARLESTON, SC 29406-7109
(843) 377-1600
(843) 377-1601
Mailing address
55 ASHLEY AVE, APARTMENT 21, CHARLESTON, SC 29401-1269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31151
SC
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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