Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 51 11th Avenue, Aynor, South Carolina |
Authorized Official Name and Position | Donald H Lloyd (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8434312405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
51 11th Avenue Aynor SC 29511 Ph: (843) 431-2405 | 51 11th Avenue Aynor SC 29511 Ph: (843) 431-2405 |
NPI Number | 1457585713 |
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Provider Enumeration Date | 05/14/2009 |
Last Update Date | 05/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457585713 | NPI | - | NPPES |
GP5403 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 Elm St, Aynor, SC 29511 Phone: 843-248-4700 | |