| James H. Walker,iii Dba Sandy Springs Family Practice | |
|
5304 Highway 76 Pendleton SC 29670-9139 | |
| (864) 261-9100 | |
| Not Available |
| Full Name | James H. Walker,iii Dba Sandy Springs Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 5304 Highway 76, Pendleton, South Carolina |
| Authorized Official Name and Position | James H Walker (OWNER) |
| Authorized Official Contact | 8642619100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James H. Walker,iii Dba Sandy Springs Family Practice Po Box 450 Sandy Springs SC 29677-0450 Ph: (864) 261-9100 | James H. Walker,iii Dba Sandy Springs Family Practice 5304 Highway 76 Pendleton SC 29670-9139 Ph: (864) 261-9100 |
| NPI Number | 1285854901 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 06/19/2008 |
| Medicare PECOS PAC ID | 8820131642 |
|---|---|
| Medicare Enrollment ID | O20100202000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285854901 | NPI | - | NPPES |
| 080006182 | Other | SC | RAILROAD MEDICARE |
| GPO311 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 109572 (South Carolina) | Primary |
| Provider Name | James Henderson Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871533505 PECOS PAC ID: 5193868917 Enrollment ID: I20100202000637 |
| Provider Name | Catherine Walker Zocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982340469 PECOS PAC ID: 5799160842 Enrollment ID: I20220910000329 |
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