Edisto Indian Free Clinic | |
1125 Ridge Rd Ridgeville SC 29472-7846 | |
(843) 871-2126 | |
(843) 832-6019 |
Full Name | Edisto Indian Free Clinic |
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Speciality | Clinic/center |
Location | 1125 Ridge Rd, Ridgeville, South Carolina |
Authorized Official Name and Position | Donnie Creel (CHAIRMAN OF THE BOARD) |
Authorized Official Contact | 8438712126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Edisto Indian Free Clinic 1125 Ridge Rd Ridgeville SC 29472-7846 Ph: (843) 871-2126 | Edisto Indian Free Clinic 1125 Ridge Rd Ridgeville SC 29472-7846 Ph: (843) 871-2126 |
NPI Number | 1407250566 |
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Provider Enumeration Date | 10/20/2014 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1407250566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (South Carolina) | Primary |