Skyla Inc. | |
775 Addison Dr Ste 111 Rock Hill SC 29730-7061 | |
(803) 832-4446 | |
Not Available |
Full Name | Skyla Inc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 775 Addison Dr Ste 111, Rock Hill, South Carolina |
Authorized Official Name and Position | Patricia King Rucker (PRESIDENT) |
Authorized Official Contact | 8038324446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Skyla Inc. 586 Foster Heights Dr Lancaster SC 29720-9218 Ph: (803) 832-4446 | Skyla Inc. 775 Addison Dr Ste 111 Rock Hill SC 29730-7061 Ph: (803) 832-4446 |
NPI Number | 1003320003 |
---|---|
Provider Enumeration Date | 11/29/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003320003 | NPI | - | NPPES |
Z34311 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3431 (South Carolina) | Primary |
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