| Cha- Whitmire Internal Medicine | |
|
101 Main Street Whitmire SC 29178 | |
| (803) 694-3820 | |
| (803) 694-4112 |
| Full Name | Cha- Whitmire Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Main Street, Whitmire, South Carolina |
| Authorized Official Name and Position | Pamela Vaughan (PRACTICE MANAGER) |
| Authorized Official Contact | 8644272401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cha- Whitmire Internal Medicine 101 Main Street Whitmire SC 29178 Ph: (803) 694-3820 | Cha- Whitmire Internal Medicine 101 Main Street Whitmire SC 29178 Ph: (803) 694-3820 |
| NPI Number | 1699914093 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 05/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699914093 | NPI | - | NPPES |
| GP5095 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Carolinas Health Associates-whitmire Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Whitmire, SC 29178 Phone: 803-694-3820 Fax: 803-694-4112 | |
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