| Due West Family Medicine Pa | |
|
6 College St Due West SC 29639 | |
| (864) 379-2345 | |
| (864) 379-3228 |
| Full Name | Due West Family Medicine Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 6 College St, Due West, South Carolina |
| Authorized Official Name and Position | Brian Nelson Henry (OWNER) |
| Authorized Official Contact | 8643792345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Due West Family Medicine Pa Po Box 638 Due West SC 29639-0638 Ph: (864) 379-2345 | Due West Family Medicine Pa 6 College St Due West SC 29639 Ph: (864) 379-2345 |
| NPI Number | 1265508550 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265508550 | NPI | - | NPPES |
| RHC074 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
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 | |
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 |