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20 E Hospital St Suite 2 Manning SC 29102-3153 | |
(803) 433-3052 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 20 E Hospital St, Manning, South Carolina |
Authorized Official Name and Position | John Shaughnessy (CFO) |
Authorized Official Contact | 8034353187 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 550 Manning SC 29102-0550 Ph: (803) 435-8463 | 20 E Hospital St Suite 2 Manning SC 29102-3153 Ph: (803) 433-3052 |
NPI Number | 1639538663 |
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Provider Enumeration Date | 02/18/2016 |
Last Update Date | 02/23/2016 |
Identifier | Type | State | Issuer |
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1639538663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | 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 | |