Mustang Medicine Works, LLC
NPI #1396127056 in Liberty, South Carolina
Provider Information
- NPI Number
- 1396127056
- Entity Type
- Organization
- Organization Name
- Mustang Medicine Works, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jun 18, 2015
- Last Updated
- Jun 18, 2015
Practice Location
- Address
- 25 ISELIN ST
- City
- Liberty
- State
- South Carolina
- ZIP Code
- 29657-1508
- Phone
- (864) 508-0781
Authorized Official
- Name
- DR. DARRELL GENE YARDLEY, PHD
- Title
- C.EO.
- Phone
- (864) 508-0781
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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