Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Intercostal Nonsurgical Diagnostic Inc

Organization Prevention Professional · NPI 1407397227

Intercostal Nonsurgical Diagnostic Inc is a Prevention Professional in Williamston, South Carolina. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 E Main St
Williamston, SC 29697-1925
Phone: (864) 847-6020
Fax: (864) 840-9668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X

Record details

NPI number1407397227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Wise — Owner · (864) 847-6020
NPI enumeratedMarch 13, 2017
Last updated in NPPESMarch 13, 2017
Mailing address24 E Main St, Williamston, SC 29697-1925