Organization
CLEAR SKYE MEDICAL HOLDINGS, LLC
Active
Parent organization
CLEAR SKYE MEDICAL HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEAR SKYE MEDICAL HOLDINGS, LLC
Authorized official
DR. GAJENDRA BAFNA R PH (CO OWNER)
(864) 631-7371
Entity
Organization
Contact information
Practice address
1035 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
(864) 547-2089
(864) 547-2086
Mailing address
1035 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
(864) 547-2089
(864) 547-2086
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
03/20/2024
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