Individual
SETH MITTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9493
Mailing address
PO BOX 50597, COLUMBIA, SC 29250-0597
(803) 726-9400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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