Most Relevant Information
Provider Data
| NPI Number: | 1003252677 |
| Provider Name: | BERNARD MCINTOSH |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2013 |
| Last Updated: | 05/22/2013 |
Provider Practice Location
1806 E. NATIONAL CEMETARY RD.
FLORENCE
SC
29506
Practice Location Phone/Fax
| Phone: | 8432921027 |
| Fax: | 8432921030 |
Provider Mailing Location
106 HUNTLEY ST
LAKE CITY
SC
295603806
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |