NPI 1407397227

Intercostal Nonsurgical Diagnostic INC

Organisation Prevention Professional Williamston, SC

Practice location

Address: 24 E Main St, Williamston, SC 29697-1925
Phone: (864) 847-6020
Fax: (864) 840-9668

Authorised official

Name: Jack Wise
Title: Owner
Phone: (864) 847-6020

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

Other Prevention Professional providers in South Carolina →

Registry record

NPI: 1407397227
Entity type: Organization
NPI issued: 13 Mar 2017
Record last updated: 13 Mar 2017

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.