Charles B. Maxwell, Dmd, Pa | |
144 East Broadway St. Johnsonville SC 29555-0297 | |
(843) 386-2833 | |
(843) 386-2279 |
Full Name | Charles B. Maxwell, Dmd, Pa |
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Speciality | Clinic/center |
Location | 144 East Broadway St., Johnsonville, South Carolina |
Authorized Official Name and Position | Charles B Maxwell (OWNER) |
Authorized Official Contact | 8433862833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles B. Maxwell, Dmd, Pa 144 East Broadway St. Po Box 297 Johnsonville SC 29555-0297 Ph: (843) 386-2833 | Charles B. Maxwell, Dmd, Pa 144 East Broadway St. Johnsonville SC 29555-0297 Ph: (843) 386-2833 |
NPI Number | 1851345557 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851345557 | NPI | - | NPPES |
Z2117-4 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2117 (South Carolina) | Primary |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 East Broadway Street, Johnsonville, SC 29555 Phone: 843-386-3573 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-386-3573 | |