Family Medicine Associates, Llc | |
505 Thurgood Marshall Hwy Kingstree SC 29556-4107 | |
(843) 374-8380 | |
Not Available |
Full Name | Family Medicine Associates, Llc |
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Speciality | Clinic/Center |
Location | 505 Thurgood Marshall Hwy, Kingstree, South Carolina |
Authorized Official Name and Position | Morris Edward Brown (OWNER) |
Authorized Official Contact | 8433748380 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Medicine Associates, Llc 901 N Matthews Rd Lake City SC 29560-7024 Ph: (843) 374-5247 | Family Medicine Associates, Llc 505 Thurgood Marshall Hwy Kingstree SC 29556-4107 Ph: (843) 374-8380 |
NPI Number | 1831445998 |
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Provider Enumeration Date | 07/26/2012 |
Last Update Date | 10/11/2012 |
Medicare PECOS PAC ID | 0547368441 |
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Medicare Enrollment ID | O20121119000364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831445998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 17100 (South Carolina) | Primary |
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