| Full Name | |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 200 Main St, Clio, South Carolina |
| Authorized Official Name and Position | Pravin R Patel (PHYSICIAN) |
| Authorized Official Contact | 8435862292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
200 Main St Clio SC 29525 Ph: (843) 586-2292 | 200 Main St Clio SC 29525 Ph: (843) 586-2292 |
| NPI Number | 1679613525 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 05/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679613525 | NPI | - | NPPES |
| GP3103 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 113139 (South Carolina) | Primary |
Clio Medical Center,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Main St, Clio, SC 29525 Phone: 843-586-2292 | |
Ehealth Medical Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Main St, Clio, SC 29525 Phone: 843-606-6515 Fax: 843-306-6035 | |
Ehealth Medical Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Main St, Clio, SC 29525 Phone: 843-306-6105 Fax: 843-306-6515 |