| Fairfield Medical Associates, Pa | |
|
428 Mcnulty St Ste 3 Blythewood SC 29016-8786 | |
| (803) 754-8941 | |
| (803) 635-4200 |
| Full Name | Fairfield Medical Associates, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 428 Mcnulty St Ste 3, Blythewood, South Carolina |
| Authorized Official Name and Position | Elizabeth Mann (PRACTICE MANAGER) |
| Authorized Official Contact | 8036356461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Medical Associates, Pa Po Box 1218 Winnsboro SC 29180-5218 Ph: (803) 815-5568 | Fairfield Medical Associates, Pa 428 Mcnulty St Ste 3 Blythewood SC 29016-8786 Ph: (803) 754-8941 |
| NPI Number | 1912537119 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912537119 | NPI | - | NPPES |
| PA3996 | Medicaid | SC | |
| RHC177 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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