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105 N Railroad Ave Lamar SC 29069-9727 | |
| (843) 326-5777 | |
| (843) 326-1038 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 105 N Railroad Ave, Lamar, South Carolina |
| Authorized Official Name and Position | Sophia L Arwood (DIRECTOR) |
| Authorized Official Contact | 6156286038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
105 N Railroad Ave Lamar SC 29069-9727 Ph: (843) 326-5777 | 105 N Railroad Ave Lamar SC 29069-9727 Ph: (843) 326-5777 |
| NPI Number | 1972723096 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972723096 | NPI | - | NPPES |
| RHC108 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Carolinas Medical Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 N Railroad Ave, Lamar, SC 29069 Phone: 843-326-5777 |