Healthcare Provider Details

I. General information

NPI: 1518972942
Provider Name (Legal Business Name): CHERRY WILEY MACTAGGART M.S.,L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 MAIN ST SUITE 500
GREENWOOD SC
29646-1601
US

IV. Provider business mailing address

327 MAIN ST SUITE 500
GREENWOOD SC
29646-1601
US

V. Phone/Fax

Practice location:
  • Phone: 864-942-9897
  • Fax: 864-942-9897
Mailing address:
  • Phone: 864-942-9897
  • Fax: 864-942-9897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberSC2349
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: