| |
300 Singleton Ridge Rd Conway SC 29526-9142 | |
(843) 347-8347 | |
(843) 234-6977 |
Full Name | |
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Speciality | Family Medicine |
Location | 300 Singleton Ridge Rd, Conway, South Carolina |
Authorized Official Name and Position | Bret A Barr (CFO) |
Authorized Official Contact | 8433477111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 2180 Conway SC 29528-2180 Ph: (843) 234-5139 | 300 Singleton Ridge Rd Conway SC 29526-9142 Ph: (843) 347-8347 |
NPI Number | 1689928103 |
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Provider Enumeration Date | 11/06/2012 |
Last Update Date | 05/10/2016 |
Medicare PECOS PAC ID | 9830087774 |
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Medicare Enrollment ID | O20040316000313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689928103 | NPI | - | NPPES |
7844 | Other | SC | MEDICARE PTAN |
DC2203 | Other | SC | RAILROAD MEDICARE GROUP |
GP4505 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Martin F Carmichael |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477511053 PECOS PAC ID: 2264563667 Enrollment ID: I20100629000569 |
Provider Name | Kimberly N Spivey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013280031 PECOS PAC ID: 6507028701 Enrollment ID: I20120504000362 |
Provider Name | Jessica R Strickland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063968055 PECOS PAC ID: 6901186568 Enrollment ID: I20161219000028 |
Provider Name | Charles M Frost |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144616384 PECOS PAC ID: 6305194523 Enrollment ID: I20180803002974 |
Provider Name | Ashley Hucks Crago |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073070512 PECOS PAC ID: 7214279637 Enrollment ID: I20190503000703 |
Provider Name | Joshua Krumenacker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841589280 PECOS PAC ID: 0345486817 Enrollment ID: I20230526002288 |
Clinic Services Of South Carolina Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-7111 | |
Sasser Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2361 Cypress Cir, Conway, SC 29526 Phone: 843-347-7291 Fax: 843-347-9309 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1608 N. Main St, Conway, SC 29526 Phone: 843-248-4700 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526 Phone: 843-248-4700 | |