| Emmaus Med/surg Clinic | |
|
602 E Main St Suite C Lexington SC 29072-3729 | |
| (803) 359-0164 | |
| (803) 359-0255 |
| Full Name | Emmaus Med/surg Clinic |
|---|---|
| Speciality | General Practice |
| Location | 602 E Main St, Lexington, South Carolina |
| Authorized Official Name and Position | Bert B Oubre (OWNER) |
| Authorized Official Contact | 8033590164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmaus Med/surg Clinic 602 E Main St Suite C Lexington SC 29072-3729 Ph: (803) 359-0164 | Emmaus Med/surg Clinic 602 E Main St Suite C Lexington SC 29072-3729 Ph: (803) 359-0164 |
| NPI Number | 1871827790 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871827790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 30244 (South Carolina) | Primary |
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