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56 Us Hwy 321 Bypass N Winnsboro SC 29180 | |
(803) 635-6099 | |
(803) 635-6343 |
Full Name | |
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Speciality | Clinic/Center |
Location | 56 Us Hwy 321 Bypass N, Winnsboro, South Carolina |
Authorized Official Name and Position | Mark Shaffer (MEDICAL DIRECTOR) |
Authorized Official Contact | 8036356099 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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56 Us Hwy 321 Bypass N Winnsboro SC 29180 Ph: (803) 635-6099 | 56 Us Hwy 321 Bypass N Winnsboro SC 29180 Ph: (803) 635-6099 |
NPI Number | 1306907613 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/09/2016 |
Medicare PECOS PAC ID | 1759291578 |
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Medicare Enrollment ID | O20030430000019 |
Identifier | Type | State | Issuer |
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1306907613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |