| Chesterfield Clinic Corp | |
|
715 S Doctors Dr Suite B Cheraw SC 29520-7113 | |
| (843) 537-3622 | |
| Not Available |
| Full Name | Chesterfield Clinic Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 715 S Doctors Dr, Cheraw, South Carolina |
| Authorized Official Name and Position | Debbie T Brewer (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Clinic Corp 715 S Doctors Dr Suite B Cheraw SC 29520-7113 Ph: () - | Chesterfield Clinic Corp 715 S Doctors Dr Suite B Cheraw SC 29520-7113 Ph: (843) 537-3622 |
| NPI Number | 1164454435 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164454435 | NPI | - | NPPES |
| GP1883 | Medicaid | SC | |
| 5950784 | Medicaid | NC | |
| 5900377 | Medicaid | NC | |
| 5950778 | Medicaid | NC | |
| GP4535 | Medicaid | SC |
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