| |
900 E Cheves St Florence SC 29506-2704 | |
(854) 455-2664 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 900 E Cheves St, Florence, South Carolina |
Authorized Official Name and Position | Uchechukwu Maduabuchukwu Egbujo (MEDICAL DIRECTOR) |
Authorized Official Contact | 8544552664 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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977 Abigail Ct Florence SC 29501-8192 Ph: (854) 455-2664 | 900 E Cheves St Florence SC 29506-2704 Ph: (854) 455-2664 |
NPI Number | 1356180897 |
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Provider Enumeration Date | 05/23/2024 |
Last Update Date | 08/25/2024 |
Medicare PECOS PAC ID | 4880132844 |
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Medicare Enrollment ID | O20240821003243 |
Identifier | Type | State | Issuer |
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1356180897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
283X00000X | Rehabilitation Hospital | (* (Not Available)) | Secondary |
Provider Name | Uchechukwu Egbujo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497231211 PECOS PAC ID: 8628479789 Enrollment ID: I20210625002327 |
Florence Family Health Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Cheves St, Suite 380, Florence, SC 29506 Phone: 843-664-0399 Fax: 843-664-4379 | |
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