First Med Pc | |
1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 | |
(516) 849-8385 | |
(516) 830-3520 |
Full Name | First Med Pc |
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Speciality | Family Medicine |
Location | 1795 Dr Frank Gaston Blvd, Rock Hill, South Carolina |
Authorized Official Name and Position | Ndi Johnnie Maduako (CEO) |
Authorized Official Contact | 5168498385 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Med Pc 8022 Providence Rd Ste 500-119 Charlotte NC 28277-9719 Ph: (516) 849-8385 | First Med Pc 1795 Dr Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (516) 849-8385 |
NPI Number | 1508386640 |
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Provider Enumeration Date | 06/20/2017 |
Last Update Date | 06/20/2017 |
Medicare PECOS PAC ID | 3971875824 |
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Medicare Enrollment ID | O20221109002718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508386640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD37960 (South Carolina) | Primary |
Provider Name | Ndi J Maduako |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396985644 PECOS PAC ID: 4688824584 Enrollment ID: I20160112001273 |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |