| Copeland Medical Care | |
|
2850 Pelham Ct Orangeburg SC 29118-1400 | |
| (803) 655-6132 | |
| (803) 655-6173 |
| Full Name | Copeland Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 2850 Pelham Ct, Orangeburg, South Carolina |
| Authorized Official Name and Position | Thomas Dandridge (PRESIDENT) |
| Authorized Official Contact | 8033952200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copeland Medical Care Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4499 | Copeland Medical Care 2850 Pelham Ct Orangeburg SC 29118-1400 Ph: (803) 655-6132 |
| NPI Number | 1285641332 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285641332 | NPI | - | NPPES |
| GP3748 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | APN652 (South Carolina) | Primary |
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