VONTAVIA MCPHAUL

Community/Behavioral Health

Active Individual
NPI: 1972074409

Practice Address

111 CLYDE ST
Bennettsville, SC 29512

Phone: (910) 250-8811

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X No -
Community/Behavioral Health 251S00000X Yes -

Frequently Asked Questions

NPI 1972074409 is the National Provider Identifier for VONTAVIA MCPHAUL, a Community/Behavioral Health provider located in Bennettsville, SC. This NPI was enumerated on December 10, 2018.
VONTAVIA MCPHAUL practices at 111 CLYDE ST, Bennettsville, SC 29512.

Quick Facts

NPI
1972074409
Type
Individual
Enumerated
Dec 10, 2018
Last Updated
Dec 10, 2018

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