Organization
SOUTHERN HEALTHSTYLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERB MATTOCKS (EXECUTIVE DIRECTOR)
(803) 649-1900
Entity
Organization
Contact information
Practice address
1105 GREGG HWY, AIKEN, SC 29801-6341
(803) 649-1900
Mailing address
1105 GREGG HWY, AIKEN, SC 29801-6341
(803) 649-1900
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/13/2005
Last updated
08/22/2020
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