| J-rapha Clinic Llc | |
|
1042 Professional Court Manning SC 29102-2827 | |
| (803) 433-7991 | |
| (803) 433-7791 |
| Full Name | J-rapha Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1042 Professional Court, Manning, South Carolina |
| Authorized Official Name and Position | Donatus M Egbonim (OWNER) |
| Authorized Official Contact | 8034337991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J-rapha Clinic Llc 1042 Professional Court Manning SC 29102-2827 Ph: (803) 433-7991 | J-rapha Clinic Llc 1042 Professional Court Manning SC 29102-2827 Ph: (803) 433-7991 |
| NPI Number | 1487858163 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487858163 | NPI | - | NPPES |
| P00423235 | Other | SC | RAILROAD MEDICARE |
| 0116367 | Other | SC | GHI |
| 20049632 | Other | SC | SELECT HEALTH FIRST CHOICE |
| 202337 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20233 (South Carolina) | Primary |
Hopehealth Manning Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 W Hospital St, Manning, SC 29102 Phone: 803-433-4321 Fax: 803-433-0075 | |
Mcleod Primary Care Clarendon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bozard St, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 | |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |
The Clarendon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St., Suite 100, Manning, SC 29102 Phone: 803-435-5212 Fax: 803-435-3389 | |
Manning Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hospital St, Suite 4, Manning, SC 29102 Phone: 803-435-5250 Fax: 803-435-5255 | |
Robert S Eagerton, Jr, Md Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Hospital St, Manning, SC 29102 Phone: 803-433-0439 Fax: 803-433-9840 |