| Internal Medicine Healthcare, P.a. | |
|
1055 Ribaut Rd Ste 10 Beaufort SC 29902-3402 | |
| (843) 524-2100 | |
| (843) 525-9613 |
| Full Name | Internal Medicine Healthcare, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1055 Ribaut Rd, Beaufort, South Carolina |
| Authorized Official Name and Position | Edward J Mcneil (OWNER) |
| Authorized Official Contact | 8435242100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Healthcare, P.a. 1055 Ribaut Rd Ste 10 Beaufort SC 29902-3402 Ph: (843) 524-2100 | Internal Medicine Healthcare, P.a. 1055 Ribaut Rd Ste 10 Beaufort SC 29902-3402 Ph: (843) 524-2100 |
| NPI Number | 1750385274 |
|---|---|
| Provider Enumeration Date | 06/13/2005 |
| Last Update Date | 05/27/2008 |
| Medicare PECOS PAC ID | 9234030446 |
|---|---|
| Medicare Enrollment ID | O20040120000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750385274 | NPI | - | NPPES |
| GP1566 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10330 (South Carolina) | Primary |
| Provider Name | Edward James Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073517595 PECOS PAC ID: 2062313281 Enrollment ID: I20060314000107 |
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