Stephen J Enns | |
224 Greenville St Nw Aiken SC 29801-3946 | |
(803) 649-0808 | |
(803) 649-5900 |
Full Name | Stephen J Enns |
---|---|
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 224 Greenville St Nw, Aiken, South Carolina |
Authorized Official Name and Position | Marti Herndon (OFFICE MANAGER) |
Authorized Official Contact | 8036490808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stephen J Enns 224 Greenville St Nw Aiken SC 29801-3946 Ph: (803) 649-0808 | Stephen J Enns 224 Greenville St Nw Aiken SC 29801-3946 Ph: (803) 649-0808 |
NPI Number | 1942666839 |
---|---|
Provider Enumeration Date | 01/07/2016 |
Last Update Date | 01/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942666839 | NPI | - | NPPES |
00609122A | Medicaid | GA | |
G38477 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (South Carolina) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 14838 (South Carolina) | Primary |
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