| Bledsoe Family Medicine Llc | |
|
669 Barr Rd Ste C Lexington SC 29072-2369 | |
| (803) 957-8000 | |
| (803) 957-7004 |
| Full Name | Bledsoe Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 669 Barr Rd Ste C, Lexington, South Carolina |
| Authorized Official Name and Position | Horace William Bledsoe (OWNER) |
| Authorized Official Contact | 8033590164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bledsoe Family Medicine Llc 602 E Main St Suite C Lexington SC 29072-3729 Ph: (803) 359-0164 | Bledsoe Family Medicine Llc 669 Barr Rd Ste C Lexington SC 29072-2369 Ph: (803) 957-8000 |
| NPI Number | 1356672927 |
|---|---|
| Provider Enumeration Date | 01/21/2010 |
| Last Update Date | 10/15/2018 |
| Medicare PECOS PAC ID | 8628100260 |
|---|---|
| Medicare Enrollment ID | O20100719000264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356672927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 8883 (South Carolina) | Primary |
| Provider Name | Horace W Bledsoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972560142 PECOS PAC ID: 6709867039 Enrollment ID: I20040525000175 |
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