Organization
DEEL INITIAVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD ORBIA DEEL AGPCNP / CLINPSYD (OFFICE MANAGER)
(864) 304-5982
Entity
Organization
Contact information
Practice address
165 STALLION RD STE A, INMAN, SC 29349-8511
(864) 304-5982
(828) 570-5272
Mailing address
165 STALLION RD STE A, INMAN, SC 29349-8511
(864) 304-5982
(828) 570-5272
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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