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349 Folly Rd Suite B Charleston SC 29412-2508 | |
| (843) 762-2323 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 349 Folly Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Linda C Shoemaker (COO) |
| Authorized Official Contact | 8439378101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
349 Folly Rd Suite B Charleston SC 29412-2508 Ph: (843) 762-2323 | 349 Folly Rd Suite B Charleston SC 29412-2508 Ph: (843) 762-2323 |
| NPI Number | 1679523989 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 09/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679523989 | NPI | - | NPPES |
| GP1161 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| 207R00000X | Internal Medicine | (South Carolina) | Secondary |
| 208000000X | Pediatrics | (South Carolina) | Secondary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |