| Compassionate Care Of Hartsville | |
|
750 W Carolina Ave Hartsville SC 29550-4412 | |
| (843) 951-9990 | |
| (843) 951-9989 |
| Full Name | Compassionate Care Of Hartsville |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 W Carolina Ave, Hartsville, South Carolina |
| Authorized Official Name and Position | Kelley Marie Moody (OWNER) |
| Authorized Official Contact | 8439519990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Care Of Hartsville 750 W Carolina Ave Hartsville SC 29550-4412 Ph: (843) 951-9990 | Compassionate Care Of Hartsville 750 W Carolina Ave Hartsville SC 29550-4412 Ph: (843) 951-9990 |
| NPI Number | 1063173458 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Medicare PECOS PAC ID | 7618362856 |
|---|---|
| Medicare Enrollment ID | O20220324002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063173458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kelley Marie Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194358317 PECOS PAC ID: 3072923879 Enrollment ID: I20201106000369 |
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Palmetto Family Medicine And Senior Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 W Carolina Ave, Hartsville, SC 29550 Phone: 843-917-4977 Fax: 888-854-0390 | |
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