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342 W Main St Kingstree SC 29556-3235 | |
| (843) 355-3621 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 342 W Main St, Kingstree, South Carolina |
| Authorized Official Name and Position | James P Wright (DIRECTOR) |
| Authorized Official Contact | 6154657633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
342 W Main St Kingstree SC 29556-3235 Ph: (843) 355-3621 | 342 W Main St Kingstree SC 29556-3235 Ph: (843) 355-3621 |
| NPI Number | 1295132355 |
|---|---|
| Provider Enumeration Date | 12/04/2014 |
| Last Update Date | 12/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295132355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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