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3420 Filbert Hwy Clover SC 29710-5602 | |
(803) 222-0600 | |
(803) 222-6119 |
Full Name | |
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Speciality | Family Medicine |
Location | 3420 Filbert Hwy, Clover, South Carolina |
Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 7043550648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 601544 Charlotte NC 28260-1544 Ph: (803) 222-0600 | 3420 Filbert Hwy Clover SC 29710-5602 Ph: (803) 222-0600 |
NPI Number | 1225205800 |
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Provider Enumeration Date | 05/13/2008 |
Last Update Date | 10/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225205800 | NPI | - | NPPES |
GP4970 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Clover Chiropractic Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Clover, SC 29710 Phone: 803-222-2561 | |
Southern Clinic And Urgt Car Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3420 Filbert Hwy, Clover, SC 29710 Phone: 803-222-0600 Fax: 803-222-6119 | |