Primary Care Services At Park Pointe Village | |
3025 Chesbrough Blvd Rock Hill SC 29732 | |
(803) 327-4723 | |
(803) 980-8625 |
Full Name | Primary Care Services At Park Pointe Village |
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Speciality | Internal Medicine |
Location | 3025 Chesbrough Blvd, Rock Hill, South Carolina |
Authorized Official Name and Position | Susan Ahern (SVP, CFO) |
Authorized Official Contact | 2156618330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Services At Park Pointe Village 420 Delaware Dr Fort Washington PA 19034-2711 Ph: (215) 661-8330 | Primary Care Services At Park Pointe Village 3025 Chesbrough Blvd Rock Hill SC 29732 Ph: (803) 327-4723 |
NPI Number | 1700353448 |
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Provider Enumeration Date | 10/31/2018 |
Last Update Date | 02/21/2024 |
Medicare PECOS PAC ID | 5092032284 |
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Medicare Enrollment ID | O20190123001004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700353448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Susan Veronee Breazeale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366642019 PECOS PAC ID: 3678479821 Enrollment ID: I20031209000950 |
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