Palmetto Wellness & Injury Center Of Bennettsville Llc | |
102 Lindsay Ave, Bennettsville, SC 29512-3102 | |
(843) 479-6102 | |
(843) 479-6103 |
Full Name | Palmetto Wellness & Injury Center Of Bennettsville Llc |
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Type | Facility |
Speciality | Family Medicine |
Location | 102 Lindsay Ave, Bennettsville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124240999 | NPI | - | NPPES |
CH2668 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2688 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 23493 (South Carolina) | Primary |
207Q00000X | Family Medicine | 29388 (South Carolina) | Secondary |
Provider Name | Raymond H Stroup |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1528032554 PECOS PAC ID: 4082677349 Enrollment ID: I20041109000120 |
Provider Name | Matthew M Cline |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720169121 PECOS PAC ID: 2769472810 Enrollment ID: I20070828000559 |
Provider Name | Veronica Efros |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093042178 PECOS PAC ID: 6901077221 Enrollment ID: I20110919000234 |
Provider Name | Tyler Hall |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962046938 PECOS PAC ID: 4486077872 Enrollment ID: I20200701002288 |
Provider Name | Cutter Vb Newton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245811991 PECOS PAC ID: 8123437399 Enrollment ID: I20220809000443 |
Mailing Address | Practice Location Address |
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Palmetto Wellness & Injury Center Of Bennettsville Llc 102 Lindsay Ave, Po Box 432, Bennettsville, SC 29512-3102 Ph: (843) 479-6102 | Palmetto Wellness & Injury Center Of Bennettsville Llc 102 Lindsay Ave, Bennettsville, SC 29512-3102 Ph: (843) 479-6102 |