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Contact Information

LANTANA PSYCHIATRY LLC
1470 BEN SAWYER BLVD STE 6
MOUNT PLEASANT, SC29464-4593
 Phone: 843-352-9982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LANTANA PSYCHIATRY LLC

NPI Number 1366013823
LBN Legal business name LANTANA PSYCHIATRY LLC
Authorized official CARL DOMINIC ROSA - (BOARD MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2021
Last updated 07/06/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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