Provider Demographics
NPI:1326564758
Name:OCEAN, ABIGAIL DURANT
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:DURANT
Last Name:OCEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GURLEY ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:SC
Mailing Address - Zip Code:29571
Mailing Address - Country:US
Mailing Address - Phone:843-423-8360
Mailing Address - Fax:
Practice Address - Street 1:601 GURLEY ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-4559
Practice Address - Country:US
Practice Address - Phone:843-423-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC$$$$$$$$$Medicaid