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NPI Code Detail

MEDICARE: LINDA R POMEROY

MEDICARE:   LINDA R POMEROY
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1720666340
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA R POMEROY
Provider Business Mailing Address
First Line : 895 PINNER PL
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-4271
Country : US
Telephone Number : 715-299-4669
Fax Number :
Provider Business Practice Location Address
First Line : 895 PINNER PL
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29577-4271
Country : US
Telephone Number : 715-299-4669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 04/02/2021

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Directions to “ LINDA R POMEROY ” Practice Location

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