Great Falls Consulting Llc | |
503 Chester Ave Ste A Great Falls SC 29055-1207 | |
(803) 482-7545 | |
Not Available |
Full Name | Great Falls Consulting Llc |
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Speciality | Family Medicine |
Location | 503 Chester Ave Ste A, Great Falls, South Carolina |
Authorized Official Name and Position | Christopher Kennington (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8038999561 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Great Falls Consulting Llc 503 Chester Ave Ste A Great Falls SC 29055-1207 Ph: (803) 482-7545 | Great Falls Consulting Llc 503 Chester Ave Ste A Great Falls SC 29055-1207 Ph: (803) 482-7545 |
NPI Number | 1811647563 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 11/22/2022 |
Medicare PECOS PAC ID | 8628456696 |
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Medicare Enrollment ID | O20220602002226 |
Identifier | Type | State | Issuer |
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1811647563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Laura Purdy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210512002536 |
Lowrys Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Chester Ave, Great Falls, SC 29055 Phone: 803-482-2129 Fax: 803-482-4989 | |
Lowrys Family Medicine Great Falls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 Chester Ave, Great Falls, SC 29055 Phone: 803-482-2129 |