Full Name | |
---|---|
Speciality | Family Medicine |
Location | 139 Main Street, Olanta, South Carolina |
Authorized Official Name and Position | Barbara Brooks (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8034331216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 578 Manning SC 29102-0578 Ph: (803) 433-1216 | 139 Main Street Olanta SC 29114 Ph: (803) 433-1216 |
NPI Number | 1508809542 |
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Provider Enumeration Date | 06/14/2006 |
Last Update Date | 04/08/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508809542 | NPI | - | NPPES |
4400 | Other | SC | MEDICARE PART B |
Woods Bay Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Baker St, Olanta, SC 29114 Phone: 843-616-3410 Fax: 866-707-4980 | |