Hopkins Pediatrics And Family Practice | |
9023 Garners Ferry Rd Hopkins SC 29061-9540 | |
(803) 978-1848 | |
(803) 978-1852 |
Full Name | Hopkins Pediatrics And Family Practice |
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Speciality | Clinic/Center |
Location | 9023 Garners Ferry Rd, Hopkins, South Carolina |
Authorized Official Name and Position | Delgado Cantave (CEO) |
Authorized Official Contact | 8037335969 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hopkins Pediatrics And Family Practice Po Box 3788 Columbia SC 29230-3788 Ph: (803) 753-5591 | Hopkins Pediatrics And Family Practice 9023 Garners Ferry Rd Hopkins SC 29061-9540 Ph: (803) 978-1848 |
NPI Number | 1902176183 |
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Provider Enumeration Date | 01/05/2012 |
Last Update Date | 02/08/2021 |
Medicare PECOS PAC ID | 3274434220 |
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Medicare Enrollment ID | O20121030000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902176183 | NPI | - | NPPES |
CBP018 | Medicaid | SC | |
FQC031 | Medicaid | SC | |
FQC152 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |