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211 Paige Point Road Sheldon SC 29941 | |
(843) 846-8748 | |
(843) 846-8312 |
Full Name | |
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Speciality | Clinic/Center |
Location | 211 Paige Point Road, Sheldon, South Carolina |
Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8439877400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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721 N Okatie Hwy # 170 Ridgeland SC 29936-8276 Ph: (843) 987-7400 | 211 Paige Point Road Sheldon SC 29941 Ph: (843) 846-8748 |
NPI Number | 1669726634 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 08/08/2016 |
Medicare PECOS PAC ID | 5597675728 |
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Medicare Enrollment ID | O20091020000226 |
Identifier | Type | State | Issuer |
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1669726634 | NPI | - | NPPES |
FQC100 | Medicaid | SC |