Healthwise Family Practice Llc | |
154 Wren St Barnwell SC 29812-1527 | |
(803) 259-3399 | |
(803) 259-4477 |
Full Name | Healthwise Family Practice Llc |
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Speciality | Family Medicine |
Location | 154 Wren St, Barnwell, South Carolina |
Authorized Official Name and Position | Sharon G Wise (OWNER) |
Authorized Official Contact | 8032593399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthwise Family Practice Llc 154 Wren St Barnwell SC 29812-1527 Ph: (803) 259-3399 | Healthwise Family Practice Llc 154 Wren St Barnwell SC 29812-1527 Ph: (803) 259-3399 |
NPI Number | 1033240205 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 07/23/2008 |
Medicare PECOS PAC ID | 4082711650 |
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Medicare Enrollment ID | O20070515000477 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033240205 | NPI | - | NPPES |
GP4655 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sharon Wise |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376618181 PECOS PAC ID: 4880791458 Enrollment ID: I20070515000537 |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 Fax: 803-259-3974 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 | |
Barnwell County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Road, Barnwell, SC 29812 Phone: 803-541-4161 Fax: 803-541-4160 | |
Barnwell Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Wren St, Barnwell, SC 29812 Phone: 803-259-5762 Fax: 803-259-3050 | |
Williston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 | |
Blackville Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 811 Reynolds Rd, Barnwell, SC 29812 Phone: 803-259-1000 |