| Due West Family Medicine | |
|
6 College St Due West SC 29639-9554 | |
| (864) 379-2345 | |
| (864) 379-3228 |
| Full Name | Due West Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 6 College St, Due West, South Carolina |
| Authorized Official Name and Position | Matthew Tolbert Logan (PRESIDENT/CEO) |
| Authorized Official Contact | 8647254780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Due West Family Medicine Po Box 887 Abbeville SC 29620-0887 Ph: (864) 366-3279 | Due West Family Medicine 6 College St Due West SC 29639-9554 Ph: (864) 379-2345 |
| NPI Number | 1467825166 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 7719891506 |
|---|---|
| Medicare Enrollment ID | O20151216002979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467825166 | NPI | - | NPPES |
| RHC240 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Due West Family Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 College St, Due West, SC 29639 Phone: 864-379-2345 Fax: 864-379-3228 | |
Due West Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 College St, Due West, SC 29639 Phone: 864-379-2345 Fax: 864-379-3228 | |
Due West Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 College St, Due West, SC 29639 Phone: 864-379-2345 Fax: 864-379-3228 |