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595 W Carolina Ave Varnville SC 29944-4735 | |
| (803) 943-7612 | |
| (803) 943-7613 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 595 W Carolina Ave, Varnville, South Carolina |
| Authorized Official Name and Position | Julie B Allen (CFO) |
| Authorized Official Contact | 8039431254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
595 W Carolina Ave Varnville SC 29944-4735 Ph: (803) 943-7612 | 595 W Carolina Ave Varnville SC 29944-4735 Ph: (803) 943-7612 |
| NPI Number | 1164867537 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164867537 | NPI | - | NPPES |
| GP6024 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
Coastal Plains Physician Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 595 W Carolina Ave, Varnville, SC 29944 Phone: 803-943-1239 Fax: 803-943-1240 | |