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Carolina Developmental Clinic, Llc
Developmental Disabilities Clinic/Center in Lexington, South Carolina
NPI 1225346737

Carolina Developmental Clinic, Llc is a Developmental Disabilities Clinic/Center based in Lexington, SC and is specialized in Developmental Disabilities. Carolina Developmental Clinic, Llc practices in Lexington, SC. The NPI Number for Carolina Developmental Clinic, Llc is 1225346737 and holds a License No. 23497 (South Carolina).

The current practice location address for Carolina Developmental Clinic, Llc is 107 Vista Oaks Dr Ste C, Lexington, SC and can be reached out via phone at 803-957-5856 and via fax at 803-957-5856.

Location: 107 Vista Oaks Dr Ste C, Lexington, SC, 29072-8230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225346737
Provider Name
Carolina Developmental Clinic, Llc
Credential
Provider Entity Type
Organization
Address
107 Vista Oaks Dr Ste C, Lexington, SC, 29072-8230
Phone Number
803-957-5856
Fax Number
803-957-5856
Provider Enumeration Date
09/17/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
234972 05 SC
institution
Provider Business Practice Location Address Details
Address
107 Vista Oaks Dr Ste C
City
Lexington
State
South Carolina
Zip
29072-8230
Phone Number
803-957-5856
Fax Number
803-957-5856
person
Provider Business Mailing Address Details
Address
107 Vista Oaks Dr Ste C
City
Lexington
State
South Carolina
Zip
29072-8230
Phone Number
803-957-5856
Fax Number
803-957-5856
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
23497 (South Carolina)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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