Organization
LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A.
Active
Organization
LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS FOUNTAIN CRANE M.D. (PRESIDENT)
(843) 795-3585
Entity
Organization
Contact information
Practice address
105 WAPPOO CREEK DR, SUITE 2A, CHARLESTON, SC 29412-2134
(843) 795-3585
(843) 795-9728
Mailing address
105 WAPPOO CREEK DR, SUITE 2A, CHARLESTON, SC 29412-2167
(843) 795-3585
(843) 795-9728
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
7808
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078089
—
SC
Enumeration date
08/22/2007
Last updated
08/22/2007
Update your record
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