| Carolina Family Medicine Of Walterboro | |
|
415 Robertson Blvd Suite D Walterboro SC 29488-5713 | |
| (843) 549-8444 | |
| Not Available |
| Full Name | Carolina Family Medicine Of Walterboro |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Robertson Blvd, Walterboro, South Carolina |
| Authorized Official Name and Position | Linda C Shoemaker (COO) |
| Authorized Official Contact | 8439378101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Family Medicine Of Walterboro 415 Robertson Blvd Suite D Walterboro SC 29488-5713 Ph: (843) 549-8444 | Carolina Family Medicine Of Walterboro 415 Robertson Blvd Suite D Walterboro SC 29488-5713 Ph: (843) 549-8444 |
| NPI Number | 1235189259 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235189259 | NPI | - | NPPES |
| GP4079 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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