| 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 | Family Medicine - Adult Medicine |
| Location | 6 College St, Due West, South Carolina |
| Authorized Official Name and Position | Mary Margaret Jackson (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8643663279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Due West Family Medicine Po Box 887 Abbeville SC 29620-0887 Ph: (864) 366-5011 | Due West Family Medicine 6 College St Due West SC 29639-9554 Ph: (864) 379-2345 |
| NPI Number | 1689048464 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689048464 | NPI | - | NPPES |
| 42D2178584 | Other | SC | CLIA |
| GP7141 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
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: Medicare Enrolled 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 |