Individual
IVAN JERMAINE BELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
207 COMMERCE AVE, CHESTERFIELD, SC 29709-0471
(843) 623-2229
(843) 623-2559
Mailing address
PO BOX 471, 207 COMMERCE AVE, CHESTERFIELD, SC 29709-0471
(843) 623-2229
(843) 623-2559
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405127
—
SC
Enumeration date
12/11/2007
Last updated
12/11/2007
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