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185 Bunch Ford Road Holly Hill SC 29059-1640 | |
(803) 395-4497 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 185 Bunch Ford Road, Holly Hill, South Carolina |
Authorized Official Name and Position | Lisa M Goodlett (C.O.O.) |
Authorized Official Contact | 8033952462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4497 | 185 Bunch Ford Road Holly Hill SC 29059-1640 Ph: (803) 395-4497 |
NPI Number | 1609198613 |
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Provider Enumeration Date | 02/17/2010 |
Last Update Date | 02/17/2010 |
Identifier | Type | State | Issuer |
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1609198613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (South Carolina) | Primary |
Musc Community Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 187 Bunch Ford Rd, Holly Hill, SC 29059 Phone: 843-792-1414 | |
Family Diagnostic Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Holly St., Holly Hill, SC 29059 Phone: 803-496-7174 Fax: 803-496-7928 | |
Family Diagnostics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 Holly St, Holly Hill, SC 29059 Phone: 803-496-7174 Fax: 803-496-7928 | |