Family Medcenters Of Aiken | |
216 Edgefield Ave Nw Aiken SC 29801-3910 | |
(803) 648-4224 | |
(803) 641-7600 |
Full Name | Family Medcenters Of Aiken |
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Speciality | Family Medicine |
Location | 216 Edgefield Ave Nw, Aiken, South Carolina |
Authorized Official Name and Position | Mary Ann Findley (PRACTICE MANAGER) |
Authorized Official Contact | 8036484224 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medcenters Of Aiken 216 Edgefield Ave Nw Aiken SC 29801-3910 Ph: (803) 648-4224 | Family Medcenters Of Aiken 216 Edgefield Ave Nw Aiken SC 29801-3910 Ph: (803) 648-4224 |
NPI Number | 1043296700 |
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Provider Enumeration Date | 12/15/2005 |
Last Update Date | 08/15/2023 |
Medicare PECOS PAC ID | 4284813601 |
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Medicare Enrollment ID | O20110131000839 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043296700 | NPI | - | NPPES |
PA4502 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
Provider Name | Henry Tam |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306834247 PECOS PAC ID: 9335279371 Enrollment ID: I20100617000440 |
Provider Name | Latrice Janiva Shell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528783065 PECOS PAC ID: 4082085238 Enrollment ID: I20230125002903 |
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