Organization · Type 2 NPI
Ketamine Treatment Services
Adult Medicine Physician · Mount Pleasant, SC
NPI number
1669027595
Active
Practice location
3015 Dunes West Blvd Ste 510
Mount Pleasant, SC 29466-8252
Mailing address
1851 Delacourt Ave
Mount Pleasant, SC 29466-9252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1669027595
Ketamine Treatment Services's National Provider Identifier is 1669027595, issued on Aug 7, 2019. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Mount Pleasant, SC. The record was last updated on Aug 7, 2019.