SearchSouth Carolina101Y00000X

Stacha Burgess

NPI 1265784037 · on the registry since 2012 · sole proprietor

Practice

Address
108 Central Ave Ste 3
Goose Creek, SC 29445
Phone
(843) 789-4464
Fax
(843) 970-2411
Organisation at this address
Mended Therapy Group
Golden Care Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YM0800X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina