| Family Medicine Center | |
|
109 Dukes St Saint George SC 29477-2501 | |
| (843) 563-2484 | |
| Not Available |
| Full Name | Family Medicine Center |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Dukes St, Saint George, South Carolina |
| Authorized Official Name and Position | Cecil Bryan Jordan (OWNER) |
| Authorized Official Contact | 8435632484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Center 109 Dukes St Saint George SC 29477-2501 Ph: (843) 563-2484 | Family Medicine Center 109 Dukes St Saint George SC 29477-2501 Ph: (843) 563-2484 |
| NPI Number | 1215110697 |
|---|---|
| Provider Enumeration Date | 12/09/2007 |
| Last Update Date | 11/14/2011 |
| Medicare PECOS PAC ID | 1355500182 |
|---|---|
| Medicare Enrollment ID | O20120313000947 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215110697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11810 (South Carolina) | Primary |
| Provider Name | Cecil Bryan Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487695417 PECOS PAC ID: 8224016472 Enrollment ID: I20120313000961 |
St. George Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Ridge St, Saint George, SC 29477 Phone: 843-563-6000 Fax: 843-563-6015 | |
Saint George Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Ridge St, Saint George, SC 29477 Phone: 803-531-6900 Fax: 803-531-6907 |