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11 W. Hospital St. Manning SC 29102-2925 | |
(803) 433-4321 | |
(803) 433-0075 |
Full Name | |
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Speciality | Family Medicine |
Location | 11 W. Hospital St., Manning, South Carolina |
Authorized Official Name and Position | Barbara F. Brooks (C.E.O.) |
Authorized Official Contact | 8034336790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 578 Manning SC 29102-0578 Ph: (803) 433-6790 | 11 W. Hospital St. Manning SC 29102-2925 Ph: (803) 433-4321 |
NPI Number | 1992077424 |
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Provider Enumeration Date | 01/30/2012 |
Last Update Date | 01/30/2012 |
Identifier | Type | State | Issuer |
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1992077424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |