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NPI Code Detail

MEDICARE: ADDICTIONOLOGY ASSOCIATES LLC

MEDICARE: ADDICTIONOLOGY ASSOCIATES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorSC8878SC
2207QA0401XAddiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1194896647
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTIONOLOGY ASSOCIATES LLC
Provider Business Mailing Address
First Line : PO BOX 51539
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-2047
Country : US
Telephone Number : 864-295-1280
Fax Number : 864-295-1294
Provider Business Practice Location Address
First Line : 3150 HIGHWAY 153
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-9498
Country : US
Telephone Number : 864-295-1280
Fax Number : 864-295-1294
Authorized Official
Title or Position : OWNER
Name : DR. WILLIAM M SCOTT III
Credential : MD
Telephone Number : 864-295-1280
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/27/2021

Similar Medicare Providers

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Practice Location Address:
3150 HIGHWAY 153
PIEDMONT, SC
29673-9498
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Practice Fax: 864-220-9925
1003873779 — DR. W. CLARK JERNIGAN M.D.
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1447296793 — DANIEL EATON LEE M.D.
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Practice Fax: 864-295-0095
1851492581 — DR. JOHN P. EVANS M.D.
Practice Location Address:
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29673-9498
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1629153283 — DR. MARC ANTHONY TANNER M.D.
Practice Location Address:
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29673-9498
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1356493423 — DR. ANNE-CLAIRE EDWARDS M.D.
Practice Location Address:
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Practice Fax: 864-295-9927

Directions to “ADDICTIONOLOGY ASSOCIATES LLC ” Practice Location

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