CAROLINA DEVELOPMENTAL CLINIC, LLC
Ambulatory Health at Vista Oaks Dr, Lexington, SC

License number
South Carolina 23497
Category
Ambulatory Health
Type
Developmental Disabilities
Owner
Name: DR. SHELLY DEANNE BRIGMAN M.D.
Title: OWNER AND MEDICAL DIRECTOR
Phone: (803) 957-5856
Address
Address
107 Vista Oaks Dr STE C, Lexington, SC 29072
National Provider ID: 1225346737
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAROLINA DEVELOPMENTAL CLINIC, LLC

Lexington, SC

Industry:
Health/Allied Services
Doing business as:
Carolina Developmental Clinic
Registration:
Sep 10, 2010
Addresses:
107-C Vis Oaks Dr, Lexington, SC 29072 (Physical)
107 Vis Oaks Dr, Lexington, SC 29072
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Behavioral Pediatrics, Medical Doctor, Principal:
Shelly Brigman (Behavioral Pediatrics, Medical Doctor, Principal)
Agent:
Shelly D. Brigman

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