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 |
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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 |
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 | |