Carolina Family Practice | |
107 Sunset Dr Manning SC 29102-2904 | |
(803) 435-4447 | |
(803) 435-9092 |
Full Name | Carolina Family Practice |
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Speciality | Family Medicine |
Location | 107 Sunset Dr, Manning, South Carolina |
Authorized Official Name and Position | George R Jones (OWNER) |
Authorized Official Contact | 8034354447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolina Family Practice 107 Sunset Dr Manning SC 29102-2904 Ph: (803) 435-4447 | Carolina Family Practice 107 Sunset Dr Manning SC 29102-2904 Ph: (803) 435-4447 |
NPI Number | 1891976619 |
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Provider Enumeration Date | 11/20/2007 |
Last Update Date | 09/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891976619 | NPI | - | NPPES |
GP1535 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 088489 (South Carolina) | Primary |
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 | |