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NPI Code Detail

MEDICARE: MR. DAVID C. BETHANY MED.

MEDICARE: MR. DAVID C. BETHANY MED.
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
1101YP2500XProfessional Counselor1632SC
2106H00000XMarriage & Family Therapist2712SC

General Provider Information

NPI Number : 1942205513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID C. BETHANY MED.
Provider Business Mailing Address
First Line : 1117 WATERFRONT DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-7428
Country : US
Telephone Number : 843-442-4341
Fax Number :
Provider Business Practice Location Address
First Line : 1004 ANNA KNAPP BLVD
Second Line : STE 2
City : MT PLEASANT
State : SC
Zip : 29464-3134
Country : US
Telephone Number : 843-442-4341
Fax Number : 843-881-9317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 04/18/2019

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Directions to “ MR. DAVID C. BETHANY MED.” Practice Location

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