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511 W Moultrie St Winnsboro SC 29180-1436 | |
(803) 635-6461 | |
(803) 635-4200 |
Full Name | |
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Speciality | Family Medicine |
Location | 511 W Moultrie St, Winnsboro, South Carolina |
Authorized Official Name and Position | Elizabeth Mann (OFFICE MANAGER) |
Authorized Official Contact | 8036356461 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1218 Winnsboro SC 29180-5218 Ph: (803) 635-6461 | 511 W Moultrie St Winnsboro SC 29180-1436 Ph: (803) 635-6461 |
NPI Number | 1740579168 |
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Provider Enumeration Date | 04/06/2011 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1740579168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | B91789 (South Carolina) | Primary |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |