Cypress Family Medicine | |
1036 Professional Ct Manning SC 29102-2827 | |
(803) 433-5220 | |
(803) 433-5221 |
Full Name | Cypress Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 1036 Professional Ct, Manning, South Carolina |
Authorized Official Name and Position | William Aldrich (OWNER MD) |
Authorized Official Contact | 8034335220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cypress Family Medicine 1036 Professional Court Manning SC 29102-2827 Ph: (803) 433-5220 | Cypress Family Medicine 1036 Professional Ct Manning SC 29102-2827 Ph: (803) 433-5220 |
NPI Number | 1083703870 |
---|---|
Provider Enumeration Date | 10/12/2006 |
Last Update Date | 05/06/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083703870 | NPI | - | NPPES |
9640181 | Other | SC | GHI |
P00360790 | Other | SC | RAILROAD MEDICARE |
139157 | Medicaid | SC | |
20025399 | Other | SC | SELECT HEALTH FIRST CHOICE |
G5090 | Other | SC | MEDIGOLD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |