| Clinton Family Practice, Inc. | |
|
201 Jacobs Hwy Clinton SC 29325-7278 | |
| (864) 833-2120 | |
| (864) 833-6749 |
| Full Name | Clinton Family Practice, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 Jacobs Hwy, Clinton, South Carolina |
| Authorized Official Name and Position | Edgar Benton Barnard (PRESIDENT) |
| Authorized Official Contact | 8648332120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton Family Practice, Inc. Po Box 684 Clinton SC 29325-0684 Ph: (864) 833-2120 | Clinton Family Practice, Inc. 201 Jacobs Hwy Clinton SC 29325-7278 Ph: (864) 833-2120 |
| NPI Number | 1417146952 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417146952 | NPI | - | NPPES |
| P00187865 | Other | SC | MEDICARE 'B' - RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 18133 (South Carolina) | Primary |
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