Evans, Mandy
Evans, Mandy is an individual health care provider with primary practice located at 709 Mill St , Camden SC 29020-4738. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Evans, Mandy can be contacted via phone (803) 432-6902.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | South Carolina |
Profile Details
| NPI number | 1821458225 |
|---|---|
| LBN Legal business name | Evans, Mandy |
| Credentials | ADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2016 |
| Last updated | Jun 16th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821458225 | NPPES |
| South Carolina | MEDICAID | AD08LA |
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