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NPI Code Detail

MEDICARE: REBEKAH SOUTH

MEDICARE: REBEKAH SOUTH
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) Counselor1508056SC

General Provider Information

NPI Number : 1659203941
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH SOUTH
Provider Business Mailing Address
First Line : 1612 RIVERS ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-8513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1612 RIVERS ST
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-8513
Country : US
Telephone Number : 864-227-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ REBEKAH SOUTH ” Practice Location

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