| Fowler Rural Medical | |
|
2236 E Highway 76 Marion SC 29571-6353 | |
| (843) 423-4044 | |
| Not Available |
| Full Name | Fowler Rural Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 2236 E Highway 76, Marion, South Carolina |
| Authorized Official Name and Position | Mitch Walker (BUSINESS OFFICE) |
| Authorized Official Contact | 8434234044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fowler Rural Medical Po Box 875 Marion SC 29571-0875 Ph: (843) 423-4044 | Fowler Rural Medical 2236 E Highway 76 Marion SC 29571-6353 Ph: (843) 423-4044 |
| NPI Number | 1316098957 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316098957 | NPI | - | NPPES |
| CBP500 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6769 (South Carolina) | Primary |
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