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2113 Main Hwy Bamberg SC 29003-2705 | |
(803) 245-5168 | |
(803) 245-6275 |
Full Name | |
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Speciality | Family Medicine |
Location | 2113 Main Hwy, Bamberg, South Carolina |
Authorized Official Name and Position | Danette F Mcalhaney (DIRECTOR) |
Authorized Official Contact | 8032455168 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 120 Bamberg SC 29003-0120 Ph: (803) 245-5168 | 2113 Main Hwy Bamberg SC 29003-2705 Ph: (803) 245-5168 |
NPI Number | 1366407231 |
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Provider Enumeration Date | 04/20/2006 |
Last Update Date | 06/15/2021 |
Medicare PECOS PAC ID | 7214907922 |
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Medicare Enrollment ID | O20040729000967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366407231 | NPI | - | NPPES |
GP0698 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Frederick J Mcelveen |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1417925173 PECOS PAC ID: 1759388465 Enrollment ID: I20061023000029 |
Provider Name | Danette Mcalhaney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043275282 PECOS PAC ID: 2961504303 Enrollment ID: I20070302000479 |
Provider Name | Charles L Gaillard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437338068 PECOS PAC ID: 1254226855 Enrollment ID: I20081104000347 |
Provider Name | Holly M Gwaltney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871526335 PECOS PAC ID: 4385780014 Enrollment ID: I20091009000043 |
Provider Name | Bretta Kittrell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770090896 PECOS PAC ID: 1850655051 Enrollment ID: I20180515001720 |
Provider Name | Sarah Brennan Heilig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043869431 PECOS PAC ID: 1456784164 Enrollment ID: I20191211002048 |
Provider Name | Crystal Marie Mcguire |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255082368 PECOS PAC ID: 7517344609 Enrollment ID: I20220511000113 |
Provider Name | Krysty Still Hutto |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033832183 PECOS PAC ID: 1153793591 Enrollment ID: I20230210000828 |
Provider Name | Kayla Jo Nix Medlin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912624206 PECOS PAC ID: 8921463167 Enrollment ID: I20230424000654 |
Provider Name | Crystal Barr Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629853601 PECOS PAC ID: 1850740440 Enrollment ID: I20231207002694 |
The Clinicians Clinic At The Veil Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 Main Hwy, Bamberg, SC 29003 Phone: 803-245-8330 Fax: 803-245-8391 | |