Sally Sutton Coker

Individual provider Active NPI Counselor · Kingstree, SC

NPI 1982049367 · NPPES record last updated Apr 30, 2013

Key facts

NPI
1982049367
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
500 N Academy St BLDG K
Kingstree, SC 29556-3408
Phone
(843) 355-5571
NPI assigned
Apr 30, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

500 N Academy St BLDG K
Kingstree, SC 29556-3408

Mailing address

500 N Academy St BLDG K
Kingstree, SC 29556-3408
Phone (843) 355-5571

Other providers in Kingstree, SC

All providers in Kingstree, SC · Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.