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1857 Joe S Jeffords Hwy Orangeburg SC 29115-7473 | |
(803) 535-2272 | |
(803) 585-0417 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1857 Joe S Jeffords Hwy, Orangeburg, South Carolina |
Authorized Official Name and Position | Mark Vinson (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8436560353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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360 N Irby Street Florence SC 29501-2808 Ph: (843) 667-9414 | 1857 Joe S Jeffords Hwy Orangeburg SC 29115-7473 Ph: (803) 535-2272 |
NPI Number | 1346601812 |
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Provider Enumeration Date | 03/11/2016 |
Last Update Date | 10/18/2022 |
Medicare PECOS PAC ID | 4082510623 |
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Medicare Enrollment ID | O20190909003616 |
Identifier | Type | State | Issuer |
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1346601812 | NPI | - | NPPES |
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