| Family Health Center - Mt. Olive | |
|
5260 Highway 9 Green Sea SC 29545-4930 | |
| (843) 392-9222 | |
| (843) 392-1445 |
| Full Name | Family Health Center - Mt. Olive |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5260 Highway 9, Green Sea, South Carolina |
| Authorized Official Name and Position | Dane P Ficco (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center - Mt. Olive Po Box 3239 Florence SC 29502-3239 Ph: (843) 777-7010 | Family Health Center - Mt. Olive 5260 Highway 9 Green Sea SC 29545-4930 Ph: (843) 392-9222 |
| NPI Number | 1114204153 |
|---|---|
| Provider Enumeration Date | 11/04/2011 |
| Last Update Date | 12/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114204153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mt Olive Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5260 Hwy 9, Green Sea, SC 29545 Phone: 843-392-9222 Fax: 843-392-1445 |