PONTHA DELANO MCCANTS

CONWAY, SC
NPI1962428490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- PONTHA DELANO MCCANTS
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- PONTHA DELANO MCCANTS
7494 PENNYROYAL RD
GEORGETOWN, SC 29440-5134
Phone number: 843-527-2969