Individual
DR. AVIE JAMES RAINWATER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
549 W EVANS ST, FLORENCE, SC 29501-3487
(843) 667-4949
(843) 667-3349
Mailing address
549 W EVANS ST, PO BOX 4131, FLORENCE, SC 29502-4131
(843) 667-4949
(843) 667-3349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
489
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248101096
TRICARE
SC
01
—
285004
MHN
SC
01
—
P00199753
METRAHEALTH
SC
05
—
PS0002
—
SC
01
—
PVPB174618
APS
SC
Enumeration date
11/21/2005
Last updated
06/05/2015
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