Excelsior Medical Clinic, Pa | |
448 N Main St Excelsior Medical Clinic, Pa Sumter SC 29150-4233 | |
(803) 778-2429 | |
(803) 773-6303 |
Full Name | Excelsior Medical Clinic, Pa |
---|---|
Speciality | Internal Medicine |
Location | 448 N Main St, Sumter, South Carolina |
Authorized Official Name and Position | Joseph Cecil Williams (PRESIDENT) |
Authorized Official Contact | 8037782429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Excelsior Medical Clinic, Pa 448 N Main St Excelsior Medical Clinic, Pa Sumter SC 29150-4233 Ph: (803) 778-2429 | Excelsior Medical Clinic, Pa 448 N Main St Excelsior Medical Clinic, Pa Sumter SC 29150-4233 Ph: (803) 778-2429 |
NPI Number | 1588618144 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 10/09/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588618144 | NPI | - | NPPES |
PA5850 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9647 (South Carolina) | Primary |
208D00000X | General Practice | 9646 (South Carolina) | Secondary |
Sumter Internal Medicine Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12 Barnette Dr, Sumter, SC 29150 Phone: 803-773-5442 Fax: 803-778-2394 | |
Colonial Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 Broad St Ste 200, Sumter, SC 29150 Phone: 803-773-5227 Fax: 803-418-0202 | |
Invostix Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 E Wesmark Blvd Ste 2, Sumter, SC 29150 Phone: 803-757-1238 | |