Organization
WEINBAUM PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC E WEINBAUM MD (PRESIDENT)
(843) 629-0034
Entity
Organization
Contact information
Practice address
604 S COIT ST, FLORENCE, SC 29501-5223
(843) 629-0034
(843) 629-9192
Mailing address
604 S COIT ST, FLORENCE, SC 29501-5223
(843) 629-0034
(843) 629-9192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19584SC
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189903
APS
SC
05
—
195844
—
SC
Enumeration date
11/21/2006
Last updated
08/22/2020
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