Family Life Medicine | |
7209 Hwy 90 Suite C Longs SC 29568 | |
(843) 390-1800 | |
(843) 390-1817 |
Full Name | Family Life Medicine |
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Speciality | Family Medicine |
Location | 7209 Hwy 90, Longs, South Carolina |
Authorized Official Name and Position | Carolyn Ward (LORIS PHYSICIANS CREDENTIALING) |
Authorized Official Contact | 9198806406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Life Medicine 7209 Hwy 90 Suite C Longs SC 29568 Ph: (843) 390-1800 | Family Life Medicine 7209 Hwy 90 Suite C Longs SC 29568 Ph: (843) 390-1800 |
NPI Number | 1558690305 |
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Provider Enumeration Date | 12/08/2009 |
Last Update Date | 12/08/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558690305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TL32240 (South Carolina) | Primary |
Family Life Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7209 Highway 90, Suite C, Longs, SC 29568 Phone: 843-390-1800 |