MEDICARE: CAROLINA ADDICTION AND PSYCHIATRIC TREATMENT ASSOCIATES

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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1760845119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA ADDICTION AND PSYCHIATRIC TREATMENT ASSOCIATES

Provider Business Mailing Address
First Line	:	614 PARISH RD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7234
Country	:	US
Telephone Number	:	843-754-1066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2777 SPEISSEGGER DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29405-8229
Country	:	US
Telephone Number	:	843-754-1066
Fax Number	:

Authorized Official
Title or Position	:	LLC MEMBER
Name	:	BRIAN RICHARD STILL
Credential	:	MD
Telephone Number	:	843-754-1066

Provider Enumeration Date	:	04/03/2016
Last Update Date	:	04/04/2016

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