OrganizationActive
Intercostal Nonsurgical Diagnostic Inc
NPI 1407397227 · Prevention Professional · Williamston, SC
Provider details
- NPI number
- 1407397227
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Authorized official
- Jack Wise, Owner
Practice location
24 E Main St
Williamston, SC 29697-1925
Phone: (864) 847-6020
Fax: (864) 840-9668
Mailing address
24 E Main St
Williamston, SC 29697-1925
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.