NPI 1114551926

Nocd North Carolina PC

Organisation Multi-Specialty Clinic/Center Moncks Corner, SC

Practice location

Address: 374 Lakewind Dr, Moncks Corner, SC 29461-7448
Phone: (828) 424-3773
Mailing address: 225 N Michigan Ave STE 1430, Chicago, IL 60601-7653

Authorised official

Name: Mitchell Durham
Title: Psychologist
Phone: (828) 424-3773

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in South Carolina →

Registry record

NPI: 1114551926
Entity type: Organization
NPI issued: 2 Mar 2020
Record last updated: 2 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.